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Febrile urinary tract infection after pediatric kidney transplantation: a multicenter, prospective observational study

Overview of attention for article published in Pediatric Nephrology, January 2016
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Title
Febrile urinary tract infection after pediatric kidney transplantation: a multicenter, prospective observational study
Published in
Pediatric Nephrology, January 2016
DOI 10.1007/s00467-015-3292-2
Pubmed ID
Authors

Friederike Weigel, Anja Lemke, Burkhard Tönshoff, Lars Pape, Henry Fehrenbach, Michael Henn, Bernd Hoppe, Therese Jungraithmayr, Martin Konrad, Guido Laube, Martin Pohl, Tomáš Seeman, Hagen Staude, Markus J. Kemper, Ulrike John

Abstract

Febrile urinary tract infections (fUTIs) are common after kidney transplantation (KTx); however, prospective data in a multicenter pediatric cohort are lacking. We designed a prospective registry to record data on fUTI before and after pediatric KTx. Ninety-eight children (58 boys and 40 girls) ≤ 18 years from 14 mid-European centers received a kidney transplant and completed a 2-year follow-up. Posttransplant, 38.7 % of patients had at least one fUTI compared with 21.4 % before KTx (p = 0.002). Before KTx, fUTI was more frequent in patients with congenital anomalies of kidneys and urinary tract (CAKUT) vs. patients without (38 % vs. 12 %; p = 0.005). After KTx, fUTI were equally frequent in both groups (48.7 % vs. 32.2 %; p = 0.14). First fUTI posttransplant occurred earlier in boys compared with girls: median range 4 vs. 13.5 years (p = 0.002). Graft function worsened (p < 0.001) during fUTI, but no difference was recorded after 2 years. At least one recurrence of fUTI was encountered in 58 %. This prospective study confirms a high incidence of fUTI after pediatric KTx, which is not restricted to patients with CAKUT; fUTIs have a negative impact on graft function during the infectious episode but not on 2-year graft outcome.

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Mendeley readers

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The data shown below were compiled from readership statistics for 44 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 44 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 16%
Other 6 14%
Student > Bachelor 5 11%
Student > Ph. D. Student 5 11%
Researcher 3 7%
Other 8 18%
Unknown 10 23%
Readers by discipline Count As %
Medicine and Dentistry 26 59%
Nursing and Health Professions 3 7%
Biochemistry, Genetics and Molecular Biology 1 2%
Psychology 1 2%
Engineering 1 2%
Other 0 0%
Unknown 12 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 January 2016.
All research outputs
#18,434,182
of 22,837,982 outputs
Outputs from Pediatric Nephrology
#3,130
of 3,543 outputs
Outputs of similar age
#285,378
of 394,936 outputs
Outputs of similar age from Pediatric Nephrology
#49
of 61 outputs
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