{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T12:00:23Z","timestamp":1776254423210,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Urinary tract infections (UTIs) occur commonly following kidney transplant and are associated with significant morbidity. Some providers perform intra\u2010operative antibiotic bladder irrigation at the time of ureteroneocystostomy, although practice varies widely among surgeons. As a result, this study was performed to assess outcomes following a single intravesical gentamicin injection for the prevention of UTIs.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This was a retrospective cohort study of adult patients who underwent a first isolated kidney transplant between January 2018 and January 2023. Outcomes were compared between patients who received bladder irrigation with a single dose of gentamicin and controls who did not receive antibiotic irrigation. The primary end point was the incidence of culture\u2010confirmed UTI within 3\u2010months of transplant. Key secondary endpoints included delayed allograft function and serum creatinine at 3\u2010months.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 764 patients were included in the study analysis (gentamicin\u00a0=\u00a0406 vs. control\u00a0=\u00a0358). At 3\u00a0months, the incidence of UTIs was 18.2% in the gentamicin group compared to 13.1% in the control group (\n p<\/jats:italic>\n \u00a0=\u00a00.05). A higher incidence of BK viremia >10,000\u00a0copies\/mL was also observed in the gentamicin group compared with control patients (5.9% vs. 2.5%;\n p<\/jats:italic>\n \u00a0=\u00a00.02). After multivariable regression analysis older age, female sex, early rejection, longer dialysis vintage, and urinary catheter duration were all found to be positively correlated with the incidence of UTIs.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Among kidney transplant recipients, bladder irrigation with gentamicin was not found to reduce the incidence of UTIs at 3\u00a0months. Additional studies should explore a possible association between antibiotic bladder irrigation and subsequent BK viremia.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ctr.70449","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T09:31:01Z","timestamp":1768383061000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of a Single Dose of Intravesical Aminoglycoside for the Prevention of Urinary Tract Infections in Kidney Transplant Recipients"],"prefix":"10.1111","volume":"40","author":[{"given":"Sarah","family":"Dean","sequence":"first","affiliation":[{"name":"Department of Pharmacy Mount Sinai Hospital New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4575-5330","authenticated-orcid":false,"given":"Andrew","family":"Santeusanio","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Mount Sinai Hospital New York New York USA"},{"name":"Recanati\u2010Miller Transplantation Institute Mount Sinai Hospital New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gopi","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Infection Prevention Mount Sinai Hospital New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7526-214X","authenticated-orcid":false,"given":"Vikram","family":"Wadhera","sequence":"additional","affiliation":[{"name":"Recanati\u2010Miller Transplantation Institute Mount Sinai Hospital New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ron","family":"Shapiro","sequence":"additional","affiliation":[{"name":"Recanati\u2010Miller Transplantation Institute Mount Sinai Hospital New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882\u2010023\u201003338\u20104"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.13507"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp120568"},{"issue":"3","key":"e_1_2_11_5_1","first-page":"S1","article-title":"Kidney Disease: Improving Global Outcomes (KDIGO) Transplant Work Group. 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