相关实验视频
Updated: Jul 19, 2025

07:30
Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
3.6K
腎移植後1年尿道感染:對腎移植結果的影響
Mahmoudreza Moein1, Rachel M Garn, Joseph Settineri
1From the Department of Surgery, Division of Transplantation, State University of New York Upstate Medical University, Syracuse, New York, USA.
概括
移植后的尿路感染 (UTI) 显著降低了全移植的存活率. 预防性抗生素对尿路感染的复发没有影响,患者的存活率不受尿路感染的影响.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 移植手术 移植手术
- 传染性疾病 传染性疾病
背景情况:
- 移植是末期病的拯救性治疗方法.
- 感染性并发症,特别是尿路感染 (UTI),在免疫抑制接受者中很常见.
- 了解尿路感染对移植结果的影响至关重要.
研究的目的:
- 为了确定脏移植受体中移植后尿路感染的患病率.
- 评估尿路感染对移植和患者整体生存时间的影响.
主要方法:
- 从2016年1月到2022年11月,对507名移植接受者的回顾性分析.
- 评估尿路感染发病率,复发和与预防性抗生素相关的情况.
- 评估与尿路感染有关的全移植和患者存活率.
主要成果:
- 在第一年内,脏移植接受者的很大一部分发生了尿路感染.
- 与无 (96.7%) 患者相比,尿路感染患者的异构移植存活率 (92.1%) 显着较低.
- 在尿路感染复发和预防性抗生素使用之间没有发现显著的关联. 患者存活率在两组之间没有显著差异.
结论:
- 移植后的尿路感染与大大降低脏异构移植的生存率有关.
- 预防性抗生素没有影响尿路感染复发率.
- 虽然尿路感染会影响异体移植的存活率,但在这个队列中,患者的整体存活率没有受到显著影响.
相关概念视频
Kidney Transplant II: Surgical Procedure
36
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
36
Kidney Transplant III: Nursing Management
39
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
39
Kidney Transplant I: Introduction
29
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
29
Acute Kidney Injury III: Clinical Manifestations
32
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
32
Acute Kidney Injury IV: Diagnostic Studies and Prevention
35
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
35
Acute Kidney Injury II: Pathophysiology
30
Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
30

