Introduction: Urinary tract infection (UTI) develops in 35-80% of patients after kidney transplantation. This situation constitutes one of the most important causes of morbidity and mortality. Therefore, our study aimed to determine the risk factors for UTI after kidney transplantation.
Method: The study was completed retrospectively with data from 99 patients. Patients' age, gender, year of transplantation, chronic disease, type of transplantation, graft loss, duration of hospital stay, high creatinine, dialysis and DJ catheter duration, antibiotics used, WBC, CRP, procalcitonin, steroid and immunosuppressive drug doses, urine culture, growing microorganisms. , infectious disease status, extra surgical intervention, and patient status information were searched.
Results: 50.5% of the patients were under the age of ≤40, 41.4% were women, and 97.0% had a chronic disease. 33.3% of the patients had HT and 64.6% had a cadaver transplant. 48.5% of the patients were hospitalized for 19 days or more, 47.5% were using more than 6 mg of prednol, 19.2% had high creatinine levels, 98.0% were using dual immunosuppressants, 19.2% had extra surgical intervention and 14.1% were using prednisone. He lost his life. Urine culture was found to be positive in 4% of the patients on the 7th day, 6.1% on the 14th day, 11.1% on the 1st month, 12.1% on the 3rd month, and 11.1% on the 6th month. It was determined that 47.5% of the patients' CRP levels on Day 1, 68.7% on Day 3, and 51.5% on Day 7 were ≥5mg/l. It was determined that 27.3% of the patients' procalcitonin levels were above ≥0.25 ng/mL on Day 1, 31.3% on Day 3, and 37.4% on Day 7. When the WBC results of the patients were examined, it was determined that 29.3% on Day 1, 46.5% on Day 3, and 30.3% on Day 7 were ≥11.00.
Conclusion: Among the risk factors identified after KTx of the patients participating in our study, age, gender, chronic disease, duration of DJ catheter and dialysis, duration of hospitalization, number of immunosuppressives used are among the risk factors for the development of UTI after KTx. Nurses are responsible for preventing and controlling the development of UTI in early stage patients in a timely and effective manner. We think that our study results can be a reference to improve the quality of post-KTx care and promote the rehabilitation of patients, and will also be effective in creating evidence-based nursing care.

Anahtar Kelimeler: Nursing care, Nursing care, Kidney transplant, Urinary tract infection