MULTIDRUG-RESISTANT ORGANISMS IN RENAL TRANSPLANT POSTOPERATIVE

Resumo

This is a historical cohort with a sample of 176 patients submitted to renal transplant between January/2007 and January/2009. The goal was to evaluate infections by multidrug-resistant organisms (MDROs) in postoperative renal transplant patients. Data were collected retrospectively from the medical history of patients and then submitted to statistical analyses. The project was approved by the research and ethics committee of the institution. The results showed 63(35.8%) patients with infection, out of which 27(42.9%) by MDROs. The median duration of multiresistant infections after transplant was 23(14-46) days. Out of the multiresistant infections, 25(92.6%) were urinary tract infections, three (11.1%) central catheter infections, three (11.1%) surgical wound infections, two (7.4%) lung infections, two (7.4%) gastrointestinal infections, and one (3.7%) systemic infection. The association of median days of hospital stay with the variable infection by MDROs and without infection was statistically significant (p<0.001); the association between infection by MDROs and sensitive microorganisms was also statistically significant (p<0.001). The study showed high incidence of MDROs infections in transplanted patients and that the prevalent site of infection was the urinary tract. The study shows the need to reduce the duration of hospital