Diagnosis and management of asymptomatic bacteriuria in kidney transplant recipients: a survey of current practice in Europe
2018
Coussement, Julien | Maggiore, Umberto | Manuel, Oriol | Scemla, Anne | López-Medrano, Francisco | Nagler, Evi | Aguado, José María | Abramowicz, Daniel | Adams, Brigitte | Agnelli, Caroline | Ailioaie, Oana | Akan, Hamdi | Amrouche, Lucile | Andrés, Amado | Anglicheau, Dany | Arnouts, Paul | Baas, Marije | Balgradean, Cristian | Bammens, Bert | Battaglia, Yuri | Baudoux, Thomas | Berto, Bert | Binet, Isabelle | Bistrup, Claus | Bonofiglio, Renzo | Bosmans, Jean-Louis | Bouatou, Yassine | Bouvier, Nicolas | Braconnier, Philippe | Bredewold, Edwin | Broeders, Nilufer | Brunet, Philippe | Buchler, Matthias | Budde, Klemens | Buron, Fanny | Burtey, Stéphane | Buscaroli, Andrea | Büttner, Stefan | Byrne, Catherine | Caldara, Rossana | Cassuto, Elisabeth | Catalano, Concetta | Cavaille, Guilhem | Corbel, Alice | Couzi, Lionel | Crespo, Marta | Daga, Sunil | Debellé, Frederic | Dedinska, Ivana | Devine, Paul | Dickenmann, Michael | Dratwa, Max | Drgona, Lubos | Durlik, Magdalena | Egidi, Maria Francesca | Errasti, Pedro | Etienne, Isabelle | Fariñas, María Carmen | Fehr, Thomas | Fernández-Ruiz, Mario | Founta, Paraskevi | Fourtounas, Konstantinos | Frangou, Eleni | Frimat, Luc | Furian, Luc | Garjau, Maria | Garrigue, Valérie | Gatault, Philippe | Geddes, Colin | Gerlinger, Paul | Gheuens, Eric | Ghisdal, Lidia | Gibbs, Paul | Giral, Magali | Girerd, Sophie | Golshayan, Dela | Gompou, Athina | Grossi, Paolo Antonio | Guglielmetti, Gabriele | Guirado, Luis | Hadaya, Karine | Hazzan, Marc | Helbert, Mark | Hellemans, Rachel | Heller, Katharina | Heemann, Uwe | Henckes, Manu | Hernandez, Domingo | Hertig, Alexandre | Hiesse, Christian | Hilbrands, Luuk | Hilton, Rachel | Hirzel, Cédric | Horcajada, Juan Pablo | Hougardy, Jean-Michel | Huynh-Do, Uyen | Idrizi, Alma | Ismaili, Khalid | Jiménez, Carlos | Jourde-Chiche, Noemie | Kamar, Nassim | Kaminski, Hannah | Kanter, Julia | Karras, Alexandre | Kemlin, Delphine | Kes, Petar | Kianda, Mireille | Klinger, Maria | Knight, Simon, A.B. | Koneth, Irene | Krrashi, Anita | Kuypers, Dirk | Langlois, Anne | Lang, Philippe | Lauzurica, Ricardo | Le Moine, Alain | Lebeaux, David | Legendre, Christophe | Lemy, Anne | Len, Oscar | Liakopoulos, Vassilios | Lichodziejewska-Niemierko, Monika | Yague, Maria | Lopau, Kai | Madhoun, Philippe | Magott-Procelewska, Maria | Malik, Shafi | Montero, Anna Manonelles | Marchini, Marc | Marega, Alessandra | Mariat, Maria | Mark, Mark | Martin, Pierre-Yves | Martín, Leyre | Martín, Paloma Leticia | Massart, Annick | Matignon, Marie | Maurel, Stéphane | Mazuecos, Auxiliadora | Melexopoulou, Christina | Melilli, Edoardo | Merino, Esperanza | Mesic, Enisa | Messa, Piergiorgio | Michalak, Magdalena | Minetti, Enrico | Miserlis, Grigorios | Montejo, Miguel | Moriconi, Diego | Mottola, Clément | Mourad, Georges | Mueller, Thomas | Muñoz, Patricia | Nabokow, Alexander | Naesens, Maarten | Nikodimopoulou, Maria | Oberbauer, Rainer | Olmedo, María | Olsburgh, Jonathon | Oniscu, Gabriel | Øzbay, Lara Aygen | Palmisano, Alessandra | Papagianni, Aikaterini | Papasotiriou, Mario | Parodi, Angelica | Parry, Rob | Pascual, Julio | Flores, Isabel Pérez | Pérez-Sáez, María | Peruzzi, Licia | Petit-Hoang, Camille | Phelan, Paul | Pillebout, Evangeline | Piotti, Giovanni | Pipeleers, Lissa | Pleros, Christos | Popoola, Joyce | Pretagostini, Renzo | Psimenou, Erasmia | Puig, Josep | Rafat, Cédric | Bloudickova, Silvie Rajnochova | Bushljetikj, Irena Rambabova | Ratkovic, Marina | Redondo, Dolores | Reischig, Tomas | Robert, Thomas | Ferrero, Luis | Rroji, Merita | Rutkowski, Przemyslaw | Rydzewska-Rosolowska, Alicja | Sabé, Núria | Sahali, Dil | Salzberger, Bernd | San-Juan, Rafael | Sobrino, Beatriz Sánchez | Sandrini, Silvio | Santos, Lídia | Sava, Roxana | Schaub, Stefan | Schikowski, Johan | Schvartz, Betoul | Sester, Urban | Silva, Jose Tiago | Snanoudj, Renaud | Somenzi, Danio | Sørensen, Søren | Spanos, Georgios | Steiger, Jürg | Suwelack, Barbara | Theodoropoulou, Eleni | Thervet, Eric | Thorban, Stefan | Tognarelli, Giuliana | Tournay, Yasmina | Tricot, Leïla | Tulissi, Patrizia | Vacher-Coponat, Henri | Valerio, Maricela | van Der Meijden, W | van Hamersvelt, Henk | van Laecke, Steven | Vandivinit, Alain | Vanholder, Raymond | Veroux, Massimiliano | Viklicky, Ondrej | Vigo, Emanuela | Viscoli, Claudio | Watschinger, W | Weekers, W | Welberry Smith, W | Martin, W | Zeneli, Nereida | Zervos, Angelos | Zibar, Lada | Zuber, Julien | Zukunft, Bianca | Department Infections Diseases ; Université libre de Bruxelles (ULB) | Azienda Ospedaliero-Universitaria di Parma = Maggiore Hospital in Parma | Centre Hospitalier Universitaire Vaudois = Lausanne University Hospital [Lausanne] (CHUV) | Réseau CENTAURE | CHU Pitié-Salpêtrière [AP-HP] ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU) | Service Néphrologie et transplantation rénale Adultes [CHU Necker] ; Hôpital Necker - Enfants Malades [AP-HP] ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP) | Bases moléculaires de la réponse aux xénobiotiques (U775 (IFR95)) ; Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS) | Centre Hospitalier Régional Universitaire de Tours (CHRU Tours) | Department of Nephrology ; Humboldt-Universität zu Berlin = Humboldt University of Berlin = Université Humboldt de Berlin (HU Berlin) | Hôpital Edouard Herriot [CHU - HCL] ; Hospices Civils de Lyon (HCL) | Chirurgie urologique et transplantation rénale [Hôpital de la Conception - APHM] ; Aix Marseille Université (AMU)-Assistance Publique - Hôpitaux de Marseille (APHM)-Hôpital de la Conception [CHU - APHM] (LA CONCEPTION) | Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research (C2VN) ; Institut National de la Recherche Agronomique (INRA)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM) | Service de néphrologie ; Hôpital Pasteur [Nice] (CHU) | Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy) | Service de Néphrologie-transplantation-dialyse [Bordeaux] ; Centre Hospitalier Universitaire de Bordeaux (CHU Bordeaux) | Université de Mons / University of Mons (UMONS) | CHU Rouen ; Normandie Université (NU) | Unit Infectious Diseases ; Hospital 12 de Octubre | Service de Néphrologie [CHRU Nancy] ; Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy) | Service de Pédiatrie spécialisée ; Hôpital Lapeyronie [CHU Montpellier] ; Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier) | Centre de Recherche en Transplantation et Immunologie (U1064 Inserm - CRTI) ; Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Nantes - UFR de Médecine et des Techniques Médicales (UFR MEDECINE) ; Université de Nantes (UN)-Université de Nantes (UN) | Université de Lille | Department of Pulmonary Medicine ; Tampere University Hospital | CHU Tenon [AP-HP] ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU) | Service de néphrologie (CHU de Dijon) ; Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon) | Swiss Transplantation Cohort Study ; Université de Bâle = University of Basel = Basel Universität (Unibas) | Department of Nephrology and Hypertension, and Department of Clinical Research ; Universität Bern = University of Bern = Université de Berne (UNIBE) | Centro de Investigación en Ciencias del Mar y Limnología (CIMAR) ; Universidad Nacional de Costa Rica | Pôle Urologie - Néphrologie - Dialyse - Transplantations - Brûlés - Chirurgie plastique - Explorations fonctionnelles et physiologiques [CHU Toulouse] ; Centre Hospitalier Universitaire de Toulouse (CHU Toulouse) | Université de Bordeaux (UB) | Hôpital Européen Georges Pompidou [APHP] (HEGP) ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO) | Department of Medicine, Division of Hematology-Oncology ; University of Pennsylvania | Department of Nephrology and Renal Transplantation ; University Hospitals Leuven [Leuven]-Catholic University Leuven | Université Grenoble Alpes - UFR Médecine (UGA UFRM) ; Université Grenoble Alpes [2016-2019] (UGA [2016-2019]) | Imagine - Institut des maladies génétiques (IMAGINE - U1163) ; Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM) | Service de néphrologie adultes [CHU Necker] ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Necker - Enfants Malades [AP-HP] ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP) | Institut Mondor de Recherche Biomédicale (IMRB) ; Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12) | Division of Nephrology ; Maggiore Hospital, IRCCS Foundation, Milano | Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier) | Department of Laboratory Medicine ; Hospital de San Juan de Dios de Linz ; General Hospital Linz-General Hospital Linz | Clinical Microbiology and Infectious Diseases Department ; Universidad Complutense de Madrid = Complutense University of Madrid [Madrid] (UCM) | University Hospitals Leuven [Leuven] | Department of Internal Medicine III ; Medizinische Universität Wien = Medical University of Vienna | Service de rhumatologie ; Centre Hospitalier Universitaire de Bordeaux (CHU Bordeaux) | Kidney and Pancreas Transplantation | Department d'enginyeria quimica agraria i tecnologia agroalimentaria ; Universitat de Girona = University of Girona (UdG) | Néphrologie Transplantation ; Hôpital Henri Mondor, Assistance Publique - Hôpitaux de Paris (AP-HP) | Section of Microbiology [Copenhagen] ; Department of Biology [Copenhagen] ; Faculty of Science [Copenhagen] ; University of Copenhagen = Københavns Universitet (UCPH)-University of Copenhagen = Københavns Universitet (UCPH)-Faculty of Science [Copenhagen] ; University of Copenhagen = Københavns Universitet (UCPH)-University of Copenhagen = Københavns Universitet (UCPH) | University Hospital Basel [Basel] | Service Néphrologie Transplantation Rénale ; Hôpital Foch [Suresnes] | Centre de néphrologie et transplantation rénale [Hôpital de la Conception - APHM] ; Assistance Publique - Hôpitaux de Marseille (APHM)-Hôpital de la Conception [CHU - APHM] (LA CONCEPTION) | Renal Division ; Universitäts Klinikum Freiburg = University Medical Center Freiburg (Uniklinik) | Nephrology Section [Ghent] ; Ghent University Hospital | Dept. of Nephrology ; Institute for Clinical and Experimental Medicine | Division of Infectious Diseases ; Università degli studi di Genova = University of Genoa (UniGe)-San Martino University Hospital | Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP) | ANR-11-LABX-0070,TRANSPLANTEX,Nouveaux loci d'histocompatibilité/biomarqueurs en transplantation humaine: de la découverte à l'app(2011)
International audience
Afficher plus [+] Moins [-]anglais. BackgroundAsymptomatic bacteriuria is frequent in kidney transplant recipients (KTRs). However, there is no consensus on diagnosis or management. We conducted a European survey to explore current practice related to the diagnosis and management of asymptomatic bacteriuria in adult KTRs.MethodsA panel of experts from the European Renal Association–European Dialysis Transplant Association/Developing Education Science and Care for Renal Transplantation in European States working group and the European Study Group for Infections in Compromised Hosts of the European Society of Clinical Microbiology and Infectious Diseases designed this cross-sectional, questionnaire-based, self-administered survey. Invitations to participate were e-mailed to European physicians involved in the care of KTRs.ResultsTwo hundred and forty-four participants from 138 institutions in 25 countries answered the survey (response rate 30%). Most participants [72% (176/244)] said they always screen for asymptomatic bacteriuria in KTRs. Six per cent (15/240) reported never treating asymptomatic bacteriuria with antibiotics. When antimicrobial treatment was used, 24% of the participants (53/224) said they would start with empirical antibiotics. For an episode of asymptomatic bacteriuria caused by a fully susceptible microorganism and despite no contraindications, a majority of participants (121/223) said they would use a fluoroquinolone (n = 56), amoxicillin/clavulanic acid (n = 38) or oral cephalosporins (n = 27).ConclusionsScreening for and treating asymptomatic bacteriuria are common in KTRs despite uncertainties around the benefits and harms. In an era of antimicrobial resistance, further studies are needed to address the diagnosis and management of asymptomatic bacteriuria in these patients.
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