Incidences of Infectious Events in a Renal Transplant Cohort of the German Center of Infectious Diseases (DZIF)
Background Infectious complications are a major cause of morbidity and mortality after kidney transplantation. Methods In this transplant cohort study at the German Center of Infectious Diseases (DZIF), we evaluated all infections occurring during the first year after renal transplantation. We asses...
Gespeichert in:
| Hauptverfasser: | , , , , , , , , , , , , , , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
13 May 2022
|
| In: |
Open Forum Infectious Diseases
Year: 2022, Jahrgang: 9, Heft: 7, Pages: 1-11 |
| ISSN: | 2328-8957 |
| DOI: | 10.1093/ofid/ofac243 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.1093/ofid/ofac243 Verlag, kostenfrei, Volltext: https://academic.oup.com/ofid/article/doi/10.1093/ofid/ofac243/6585272 
|
| Verfasserangaben: | Claudia Sommerer, Iris Schroter, Katrin Gruneberg, Daniela Schindler, Rouven Behnisch, Christian Morath, Lutz Renders, Uwe Heemann, Paul Schnitzler, Anette Melk, Andrea Della Penna, Silvio Nadalin, Klaus Heeg, Stefan Meuer, Martin Zeier, Thomas Giese for the Transplant Cohort of the German Center for Infection Research (DZIF Transplant Cohort) Consortium |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1823530877 | ||
| 003 | DE-627 | ||
| 005 | 20230426190955.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 221124s2022 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1093/ofid/ofac243 |2 doi | |
| 035 | |a (DE-627)1823530877 | ||
| 035 | |a (DE-599)KXP1823530877 | ||
| 035 | |a (OCoLC)1361670496 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Sommerer, Claudia |d 1971- |e VerfasserIn |0 (DE-588)121857654 |0 (DE-627)705680002 |0 (DE-576)292921829 |4 aut | |
| 245 | 1 | 0 | |a Incidences of Infectious Events in a Renal Transplant Cohort of the German Center of Infectious Diseases (DZIF) |c Claudia Sommerer, Iris Schroter, Katrin Gruneberg, Daniela Schindler, Rouven Behnisch, Christian Morath, Lutz Renders, Uwe Heemann, Paul Schnitzler, Anette Melk, Andrea Della Penna, Silvio Nadalin, Klaus Heeg, Stefan Meuer, Martin Zeier, Thomas Giese for the Transplant Cohort of the German Center for Infection Research (DZIF Transplant Cohort) Consortium |
| 264 | 1 | |c 13 May 2022 | |
| 300 | |a 11 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 24.11.2022 | ||
| 520 | |a Background Infectious complications are a major cause of morbidity and mortality after kidney transplantation. Methods In this transplant cohort study at the German Center of Infectious Diseases (DZIF), we evaluated all infections occurring during the first year after renal transplantation. We assessed microbial etiology, incidence rates, and temporal occurrence of these infections. Results Of 804 renal transplant recipients (65.2% male, 51 +/- 14 years), 439 (54.6%) had 972 infections within the first year after transplantation. Almost half of these infections (47.8%) occurred within the first 3 months. Bacteria were responsible for 66.4% (645/972) of all infections, followed by viral (28.9% [281/972]) and fungal (4.7% [46/972]) pathogens. The urinary tract was the most common site of infection (42.4%). Enterococcus was the most frequently isolated bacterium (20.9%), followed by E. coli (17.6%) and Klebsiella (12.5%). E. coli was the leading pathogen in recipients <50 years of age, whereas Enterococcus predominated in older recipients. Resistant bacteria were responsible for at least 1 infection in 9.5% (76/804) of all recipients. Viral infections occurred in 201 recipients (25.0%). Of these, herpes viruses predominated (140/281 [49.8%]), and cytomegalovirus had the highest incidence rate (12.3%). In the 46 fungal infections, Candida albicans (40.8%) was the most commonly isolated. Other fungal opportunistic pathogens, including Aspergillus fumigatus and Pneumocystis, were rare. Conclusions Renal allograft recipients in Germany experience a high burden of infectious complications in the first year after transplantation. Bacteria were the predominating pathogen, followed by opportunistic infections such as cytomegalovirus. Microbial etiology varied between age groups, and resistant bacteria were identified in 10% of recipients. | ||
| 650 | 4 | |a cohort study | |
| 650 | 4 | |a cytomegalovirus | |
| 650 | 4 | |a dzif | |
| 650 | 4 | |a era | |
| 650 | 4 | |a fungal-infections | |
| 650 | 4 | |a German | |
| 650 | 4 | |a infection | |
| 650 | 4 | |a organ-transplantation | |
| 650 | 4 | |a prevention | |
| 650 | 4 | |a recipients | |
| 650 | 4 | |a rejection | |
| 650 | 4 | |a renal transplantation | |
| 650 | 4 | |a replication | |
| 650 | 4 | |a risk-factors | |
| 650 | 4 | |a surveillance | |
| 700 | 1 | |a Schroter, Iris |e VerfasserIn |4 aut | |
| 700 | 1 | |a Gruneberg, Katrin |e VerfasserIn |4 aut | |
| 700 | 1 | |a Schindler, Daniela |e VerfasserIn |4 aut | |
| 700 | 1 | |a Behnisch, Rouven |d 1990- |e VerfasserIn |0 (DE-588)1191206238 |0 (DE-627)1669619265 |4 aut | |
| 700 | 1 | |a Morath, Christian |d 1973- |e VerfasserIn |0 (DE-588)124036155 |0 (DE-627)085595837 |0 (DE-576)293989923 |4 aut | |
| 700 | 1 | |a Renders, Lutz |e VerfasserIn |4 aut | |
| 700 | 1 | |a Heemann, Uwe |e VerfasserIn |4 aut | |
| 700 | 1 | |a Schnitzler, Paul |d 1959- |e VerfasserIn |0 (DE-588)1022905643 |0 (DE-627)717329798 |0 (DE-576)366155695 |4 aut | |
| 700 | 1 | |a Melk, Anette |e VerfasserIn |4 aut | |
| 700 | 1 | |a Della Penna, Andrea |e VerfasserIn |4 aut | |
| 700 | 1 | |a Nadalin, Silvio |e VerfasserIn |4 aut | |
| 700 | 1 | |a Heeg, Klaus |d 1956- |e VerfasserIn |0 (DE-588)133238369 |0 (DE-627)539308587 |0 (DE-576)299716805 |4 aut | |
| 700 | 1 | |a Meuer, Stefan |d 1951- |e VerfasserIn |0 (DE-588)1020440198 |0 (DE-627)691221286 |0 (DE-576)360422454 |4 aut | |
| 700 | 1 | |a Zeier, Martin |e VerfasserIn |0 (DE-588)1026480302 |0 (DE-627)726772356 |0 (DE-576)371826438 |4 aut | |
| 700 | 1 | |a Giese, Thomas |d 1962- |e VerfasserIn |0 (DE-588)143133543 |0 (DE-627)704399075 |0 (DE-576)333724496 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Open Forum Infectious Diseases |d Oxford : Oxford University Press, 2014 |g 9(2022), 7, Artikel-ID ofac243, Seite 1-11 |h Online-Ressource |w (DE-627)779394089 |w (DE-600)2757767-3 |w (DE-576)401709566 |x 2328-8957 |7 nnas |a Incidences of Infectious Events in a Renal Transplant Cohort of the German Center of Infectious Diseases (DZIF) |
| 773 | 1 | 8 | |g volume:9 |g year:2022 |g number:7 |g elocationid:ofac243 |g pages:1-11 |g extent:11 |a Incidences of Infectious Events in a Renal Transplant Cohort of the German Center of Infectious Diseases (DZIF) |
| 856 | 4 | 0 | |u https://doi.org/10.1093/ofid/ofac243 |x Verlag |x Resolving-System |z kostenfrei |3 Volltext |
| 856 | 4 | 0 | |u https://academic.oup.com/ofid/article/doi/10.1093/ofid/ofac243/6585272 |x Verlag |z kostenfrei |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20221124 | ||
| 993 | |a Article | ||
| 994 | |a 2022 | ||
| 998 | |g 143133543 |a Giese, Thomas |m 143133543:Giese, Thomas |d 910000 |d 911600 |d 50000 |e 910000PG143133543 |e 911600PG143133543 |e 50000PG143133543 |k 0/910000/ |k 1/910000/911600/ |k 0/50000/ |p 16 |y j | ||
| 998 | |g 1026480302 |a Zeier, Martin |m 1026480302:Zeier, Martin |d 910000 |d 910100 |d 50000 |e 910000PZ1026480302 |e 910100PZ1026480302 |e 50000PZ1026480302 |k 0/910000/ |k 1/910000/910100/ |k 0/50000/ |p 15 | ||
| 998 | |g 1020440198 |a Meuer, Stefan |m 1020440198:Meuer, Stefan |d 910000 |d 911600 |e 910000PM1020440198 |e 911600PM1020440198 |k 0/910000/ |k 1/910000/911600/ |p 14 | ||
| 998 | |g 133238369 |a Heeg, Klaus |m 133238369:Heeg, Klaus |d 50000 |e 50000PH133238369 |k 0/50000/ |p 13 | ||
| 998 | |g 1022905643 |a Schnitzler, Paul |m 1022905643:Schnitzler, Paul |d 910000 |d 911700 |d 50000 |e 910000PS1022905643 |e 911700PS1022905643 |e 50000PS1022905643 |k 0/910000/ |k 1/910000/911700/ |k 0/50000/ |p 9 | ||
| 998 | |g 124036155 |a Morath, Christian |m 124036155:Morath, Christian |d 50000 |e 50000PM124036155 |k 0/50000/ |p 6 | ||
| 998 | |g 1191206238 |a Behnisch, Rouven |m 1191206238:Behnisch, Rouven |d 910000 |d 911800 |e 910000PB1191206238 |e 911800PB1191206238 |k 0/910000/ |k 1/910000/911800/ |p 5 | ||
| 998 | |g 121857654 |a Sommerer, Claudia |m 121857654:Sommerer, Claudia |d 50000 |e 50000PS121857654 |k 0/50000/ |p 1 |x j | ||
| 999 | |a KXP-PPN1823530877 |e 4219142975 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"type":{"media":"Online-Ressource","bibl":"article-journal"},"name":{"displayForm":["Claudia Sommerer, Iris Schroter, Katrin Gruneberg, Daniela Schindler, Rouven Behnisch, Christian Morath, Lutz Renders, Uwe Heemann, Paul Schnitzler, Anette Melk, Andrea Della Penna, Silvio Nadalin, Klaus Heeg, Stefan Meuer, Martin Zeier, Thomas Giese for the Transplant Cohort of the German Center for Infection Research (DZIF Transplant Cohort) Consortium"]},"language":["eng"],"id":{"doi":["10.1093/ofid/ofac243"],"eki":["1823530877"]},"physDesc":[{"extent":"11 S."}],"person":[{"role":"aut","given":"Claudia","display":"Sommerer, Claudia","family":"Sommerer"},{"family":"Schroter","role":"aut","given":"Iris","display":"Schroter, Iris"},{"family":"Gruneberg","role":"aut","display":"Gruneberg, Katrin","given":"Katrin"},{"given":"Daniela","display":"Schindler, Daniela","role":"aut","family":"Schindler"},{"family":"Behnisch","display":"Behnisch, Rouven","given":"Rouven","role":"aut"},{"role":"aut","given":"Christian","display":"Morath, Christian","family":"Morath"},{"role":"aut","given":"Lutz","display":"Renders, Lutz","family":"Renders"},{"display":"Heemann, Uwe","given":"Uwe","role":"aut","family":"Heemann"},{"display":"Schnitzler, Paul","given":"Paul","role":"aut","family":"Schnitzler"},{"family":"Melk","given":"Anette","display":"Melk, Anette","role":"aut"},{"family":"Della Penna","role":"aut","display":"Della Penna, Andrea","given":"Andrea"},{"display":"Nadalin, Silvio","given":"Silvio","role":"aut","family":"Nadalin"},{"given":"Klaus","display":"Heeg, Klaus","role":"aut","family":"Heeg"},{"display":"Meuer, Stefan","given":"Stefan","role":"aut","family":"Meuer"},{"role":"aut","given":"Martin","display":"Zeier, Martin","family":"Zeier"},{"family":"Giese","role":"aut","given":"Thomas","display":"Giese, Thomas"}],"title":[{"title_sort":"Incidences of Infectious Events in a Renal Transplant Cohort of the German Center of Infectious Diseases (DZIF)","title":"Incidences of Infectious Events in a Renal Transplant Cohort of the German Center of Infectious Diseases (DZIF)"}],"note":["Gesehen am 24.11.2022"],"origin":[{"dateIssuedDisp":"13 May 2022","dateIssuedKey":"2022"}],"relHost":[{"type":{"media":"Online-Ressource","bibl":"periodical"},"title":[{"title":"Open Forum Infectious Diseases","title_sort":"Open Forum Infectious Diseases"}],"part":{"extent":"11","volume":"9","issue":"7","pages":"1-11","year":"2022","text":"9(2022), 7, Artikel-ID ofac243, Seite 1-11"},"physDesc":[{"extent":"Online-Ressource"}],"disp":"Incidences of Infectious Events in a Renal Transplant Cohort of the German Center of Infectious Diseases (DZIF)Open Forum Infectious Diseases","origin":[{"publisherPlace":"Oxford","dateIssuedKey":"2014","dateIssuedDisp":"2014-","publisher":"Oxford University Press"}],"note":["Gesehen am 07.08.2020"],"pubHistory":["2014 -"],"recId":"779394089","language":["eng"],"id":{"eki":["779394089"],"zdb":["2757767-3"],"issn":["2328-8957"]}}],"recId":"1823530877"} | ||
| SRT | |a SOMMERERCLINCIDENCES1320 | ||