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Staphylococcus aureus transmitted in transplanted kidneys.

R L Doig, P J Boyd, S Eykyn

    Lancet (London, England)
    |August 9, 1975
    PubMed
    Summary
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    Kidney transplant recipients can develop Staphylococcus aureus infections, even from burned donors. Early detection of Staph. aureus in urine is crucial to prevent severe complications and potential death.

    Area of Science:

    • Nephrology
    • Infectious Diseases
    • Transplantation Immunology

    Background:

    • Post-transplant infections pose a significant risk to graft survival and patient outcomes.
    • Staphylococcus aureus is a common pathogen in healthcare-associated infections, including those following organ transplantation.

    Purpose of the Study:

    • To investigate the link between donor electrical burns and Staphylococcus aureus septicaemia in kidney transplant recipients.
    • To highlight the clinical significance of urinary Staph. aureus in the post-transplant period.

    Main Methods:

    • Case report analysis of two kidney transplant recipients.
    • Microbiological analysis of isolated staphylococci, including phage typing.
    • Clinical outcome assessment, including graft survival and complications.

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    Main Results:

    • Both recipients developed Staphylococcus aureus septicaemia shortly after receiving kidneys from a donor with electrical burns.
    • Staph. aureus was initially detected in the urine of both recipients.
    • Phage type 6/47/54/75 was consistently isolated.
    • Complications of infection necessitated transplant nephrectomy in both cases, leading to one fatality.

    Conclusions:

    • The presence of Staph. aureus in donor kidneys, particularly from burned donors, may represent a significant risk for recipient infection.
    • Early identification and management of urinary Staph. aureus in kidney transplant recipients are critical for preventing severe outcomes.
    • Consideration should be given to donor history, including thermal injuries, in the context of potential infectious complications.