Abstract
Urinary tract infection is the most common bacterial complication in renal transplant. This study investigated the number of urinary infection in renal transplant patients at a transplant center aimed at improving nursing care in order to minimize the incidence of urinary infection. We analyzed 59 medical records of patients subjected to renal transplant from May to June 2015 at a transplant center in a hospital in northwestern state of Paraná. The prevailing age of the patients was between 50 and 60 years (29%), and the hemodialysis time was up to 24 months (30%). In patients diagnosed with urinary tract infection (36%), the prevalent microorganisms were: Enterobacter cloacae (25%), occurring more frequently in the first month after transplantation (67%). It was concluded the nursing team may to act in the control and prevention of urinary tract infection.
Highlights
Chronic kidney disease (CKD) consists of kidney damage and progressive and irreversible loss of renal function
Data were collected through analysis of 59 medical records of patients who had undergone renal transplantation from January 2012 to January 2015 at the hemodialysis ward of a transplant center located in a hospital in northwestern state of Paraná, aiming to investigate the incidence of ITU in patients after renal transplantation
Data collection was started by documentary analysis of the medical records of patients submitted to renal transplantation between 2012 and 2015, data were collected through a consultation in the hospital database
Summary
Chronic kidney disease (CKD) consists of kidney damage and progressive and irreversible loss of renal function. It is defined by the inability of the kidneys to maintain the normality of the internal environment, depending on one of the modalities of substitutive therapy (Medeiros & Sá, 2011). CKD imposes restrictions and limitations on patients, especially after the initiation of dialysis, so that people may become incapable of developing daily activities, and the assistance of third parties (family members, nursing staff) is necessary (Oller et al, 2012). According to the Brazilian Guidelines for Chronic Kidney Disease, risk factors for the development of CKD are divided into high risk for patients with systemic arterial hypertension, diabetes mellitus and family history of chronic kidney disease. Health Sciences are the elderly, patients with systemic diseases, recurrent urinary infections, recurrent urinary lithiasis and uropathy (Xavier, Santos, Almeida, Clos, & Santos, 2014)
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