{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T14:37:44Z","timestamp":1784299064921,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,2,8]],"date-time":"2019-02-08T00:00:00Z","timestamp":1549584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Bacteremia is an important complication after kidney transplantation. We examined bacteremia and its outcomes in a large cohort of kidney transplant recipients. Kidney transplants from 1\u2010Jul\u20102004 to 1\u2010Dec\u20102014 at the Toronto General Hospital were eligible for study inclusion. Bacteremia was defined as two blood culture positives for common skin contaminants or one blood culture positive for other organisms. The cumulative incidence of first bacteremia was estimated using the Kaplan\u2010Meier method, and risk factors were examined in a Cox proportional hazards model. The risk of graft failure or death was assessed in a time\u2010dependent Cox model. Over follow\u2010up, 154 of 1333 patients had at least one bacteremia episode. The cumulative incidence of first bacteremia was 6.8% (6\u00a0months) and 11.9% (5\u00a0years). Risk factors included recipient diabetes mellitus, time on dialysis, dialysis modality, delayed graft function, donor age, and donor eGFR. Bacteremia increased the risk of total graft failure (hazard ratio 2.11 [95% CI: 1.50, 2.96]), death\u2010censored graft failure (1.73 [0.99, 3.02]), and death with graft function (2.52 [1.63, 3.89]). In conclusion, bacteremia is common after kidney transplantation and impacts both graft and patient survival. Identifying high\u2010risk patients for targeted preventive strategies may reduce the burden and adverse consequences of this important complication.<\/jats:p>","DOI":"10.1111\/ctr.13479","type":"journal-article","created":{"date-parts":[[2019,1,16]],"date-time":"2019-01-16T20:21:13Z","timestamp":1547670073000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Bacteremia in kidney transplant recipients: Burden, causes, and consequences"],"prefix":"10.1111","volume":"33","author":[{"given":"Sandeep","family":"Brar","sequence":"first","affiliation":[{"name":"Multi\u2010Organ Transplant Program, Toronto General Hospital University Health Network Toronto Ontario Canada"},{"name":"Department of Medicine, Division of Nephrology, Toronto General Hospital University Health Network Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Wang","sequence":"additional","affiliation":[{"name":"Multi\u2010Organ Transplant Program, Toronto General Hospital University Health Network Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Cannitelli","sequence":"additional","affiliation":[{"name":"Multi\u2010Organ Transplant Program, Toronto General Hospital University Health Network Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Lambadaris","sequence":"additional","affiliation":[{"name":"Multi\u2010Organ Transplant Program, Toronto General Hospital University Health Network Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanhong","family":"Li","sequence":"additional","affiliation":[{"name":"Multi\u2010Organ Transplant Program, Toronto General Hospital University Health Network Toronto Ontario 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Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5021-9831","authenticated-orcid":false,"given":"Sang J.","family":"Kim","sequence":"additional","affiliation":[{"name":"Multi\u2010Organ Transplant Program, Toronto General Hospital University Health Network Toronto Ontario Canada"},{"name":"Department of Medicine, Division of Nephrology, Toronto General Hospital University Health Network Toronto Ontario Canada"},{"name":"Institute of Health Policy, Management and Evaluation University of Toronto Toronto Ontario 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