{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T05:25:27Z","timestamp":1793424327911,"version":"4.5.0"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,6,1]],"date-time":"2012-06-01T00:00:00Z","timestamp":1338508800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2012,12]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Urinary tract infection (UTI) is the most common infection in renal transplant patients, but it is necessary to determine the risk factors for bacterial UTI<\/jats:styled-content> in recipients of other solid organ transplants (SOT<\/jats:styled-content>s), as well as changes in etiology, clinical presentation, and prognosis.<\/jats:p><\/jats:sec>Methods<\/jats:title>In total, 4388 SOT<\/jats:styled-content> recipients were monitored in 16 transplant centers belonging to the S<\/jats:styled-content>panish N<\/jats:styled-content>etwork for R<\/jats:styled-content>esearch on I<\/jats:styled-content>nfection in T<\/jats:styled-content>ransplantation (RESITRA<\/jats:styled-content>). The frequency and characteristics of bacterial UTI<\/jats:styled-content> in transplant patients were obtained prospectively from the cohort (S<\/jats:styled-content>eptember 2003 to F<\/jats:styled-content>ebruary 2005).<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 192 patients (4.4%) presented 249 episodes of bacterial UTI<\/jats:styled-content> (0.23 episodes per 1000 transplantation days); 156 patients were kidney or kidney\u2013pancreas transplant recipients, and 36 patients were liver, heart, and lung transplant recipients. The highest frequency was observed in renal transplants (7.3%). High frequency of cystitis versus pyelonephritis without related mortality was observed in both groups. The most frequent etiology was E<\/jats:styled-content>scherichia coli<\/jats:italic> (57.8%), with 25.7% producing extended\u2010spectrum \u03b2\u2010lactamase (ESBL<\/jats:styled-content>). In all transplants but renal, most cases occurred in the first month after transplantation. Cases were uniformly distributed during the first 6\u00a0months after transplantation in renal recipients. Age (odds ratio [OR<\/jats:styled-content>] per decade 1.1, 95% confidence interval [CI<\/jats:styled-content>] 1.02\u20131.17), female gender (OR<\/jats:styled-content> 1.74, 95% CI<\/jats:styled-content> 1.42\u20132.13), and the need for immediate post\u2010transplant dialysis (OR<\/jats:styled-content> 1.63, 95% CI<\/jats:styled-content> 1.29\u20132.05) were independent variables associated with bacterial UTI<\/jats:styled-content> in renal and kidney\u2013pancreas recipients. The independent risk factors identified in non\u2010renal transplants were age (OR<\/jats:styled-content> per decade 1.79, 95% CI<\/jats:styled-content> 1.09\u20133.48), female gender (OR<\/jats:styled-content> 1.7, 95% CI<\/jats:styled-content> 1.43\u20132.49), and diabetes (OR<\/jats:styled-content> 1.02, 95% CI<\/jats:styled-content> 1.001\u20131.040).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>UTI<\/jats:styled-content> was frequent in renal transplants, but also not unusual in non\u2010renal transplants. Because E<\/jats:styled-content>. coli<\/jats:italic> continues to be the most frequent etiology, the emergence of ESBL<\/jats:styled-content>\u2010producing strains has been identified as a new problem. In both populations, most cases were cystitis without related mortality. Although the first month after transplantation was a risk period in all transplants, cases were uniformly distributed during the first 6\u00a0months in renal transplants. Age and female gender were identified as risk factors for UTI<\/jats:styled-content> in both populations. Other particular risk factors were the need for immediate post\u2010transplant dialysis in renal transplants and diabetes in non\u2010renal transplants.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1399-3062.2012.00744.x","type":"journal-article","created":{"date-parts":[[2012,6,1]],"date-time":"2012-06-01T04:49:07Z","timestamp":1338526147000},"page":"595-603","source":"Crossref","is-referenced-by-count":162,"title":["Bacterial urinary tract infection after solid organ transplantation in the RESITRA<\/scp> cohort"],"prefix":"10.1111","volume":"14","author":[{"given":"E.","family":"Vidal","sequence":"first","affiliation":[{"name":"Unit of Infectious Diseases Reina Sof\u00eda University Hospital\u2010IMIBIC C\u00f3rdoba Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Torre\u2010Cisneros","sequence":"additional","affiliation":[{"name":"Unit of Infectious Diseases Reina Sof\u00eda University Hospital\u2010IMIBIC C\u00f3rdoba 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