Evaluation of an Antibiotic Strategy for Ureteral Stent Removal After Kidney Transplant.

ABSTRACT:

Background and objective

This study evaluates the effectiveness of a urine culture (UC)-guided antibiotic strategy in preventing urinary tract infections (UTIs) following ureteral stent (US) removal in kidney transplant recipients.

Methods

This prospective, single-center cohort study included kidney transplant recipients undergoing cystoscopic US removal. A three-phase protocol was implemented: (1) preprocedure UC screening and UC-guided treatment, (2) US removal with UC and a microbiological analysis of the proximal and distal coils, and (3) postprocedure monitoring for UTI development. The primary outcome was UTI incidence within 48 hours and 1 month after the procedure.

Key findings and limitations

The study included 137 patients (median age: 55.8 yr, interquartile

SUBMITTER: Costa Silva A 

PROVIDER: S-EPMC12506566 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature