Asymptomatic Bacteriuria, Pyelonephritis
Conditions
Brief summary
Objective: To determine whether antibiotic treatment of asymptomatic bacteriuria in kidney transplant recipients could be useful to prevent pyelonephritis in these patients.
Detailed description
Design: Randomized prospective study. Setting: University Hospital with an active kidney transplantation program. Patients: Adult kidney transplant recipients. Interventions: Kidney transplant recipients with asymptomatic bacteriuria will be randomly assigned to be treated with antibiotics or to be followed without antibiotic therapy. Measurements: Urine cultures will be collected weekly during the first month after transplantation, every 2 weeks until three months after transplantation, every month until 6 months after transplantation and every 3 months until 12 months after transplantation. Urine culture will be as well collected if urinary symptoms appeared. Primary end points: To determine in both groups: the incidence of pyelonephritis. Secondary end points: To determine outcomes in both groups (renal function, hospitalization, rejection, graft loss, opportunistic infections and mortality) and infection by multiresistant microorganisms.
Interventions
Kidney transplant recipients with asymptomatic bacteriuria will be treated with antibiotics
Kidney transplant recipients with asymptomatic bacteriuria will be followed without antibiotic therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who receive a transplant allograft during study period
Exclusion criteria
* No acceptation of study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the incidence of pyelonephritis in both groups | First year after kidney transplantation |
Secondary
| Measure | Time frame |
|---|---|
| Renal function | First year after kydney transplantation |
| Need for hospitalization | First year after kydney transplantation |
| Incidence of graft loss | First year after kidney transplantation |
| Mortality | First year after kidney transplantation |
Other
| Measure | Time frame |
|---|---|
| Infection by multiresistant microorganisms | First year after kydney transplantation |
Countries
Spain