Initial empirical antibiotic therapy in kidney transplant recipients with pyelonephritis: A global survey of current practice and opinions across 19 countries on six continents Article Swipe
Julien Coussement
,
Shyam Bihari Bansal
,
Anne Scemla
,
My Svensson
,
Laura Barcán
,
Olivia Smibert
,
Wanessa Trindade Clemente
,
Francisco López‐Medrano
,
Tomer Hoffman
,
Umberto Maggiore
,
Concetta Catalano
,
Luuk B. Hilbrands
,
Oriol Manuel
,
Tinus Du Toit
,
Terence Kee
,
Nizamuddin Chowdhury
,
Ondrej Viklicky
,
Rainer Oberbauer
,
Samuel Markowicz
,
Hannah Kaminski
,
Matthieu Lafaurie
,
Lı́gia Camera Pierrotti
,
Tiago Lemos Cerqueira
,
Dafna Yahav
,
Nassim Kamar
,
Camille N. Kotton
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/tid.14362
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/tid.14362
Background Despite the burden of pyelonephritis after kidney transplantation, there is no consensus on initial empirical antibiotic management. Methods We surveyed clinicians throughout the world on their practice and opinions about the initial empirical therapy of post‐transplant pyelonephritis, using clinical vignettes. A panel of experts from 19 countries on six continents designed this survey, and invited 2145 clinicians to participate. Results A total of 721 clinicians completed the survey (response rate: 34%). In the hypothetical case of a kidney transplant recipient admitted with pyelonephritis but not requiring intensive care, most respondents reported initiating either a 3rd‐generation cephalosporin (37%) or piperacillin‐tazobactam (21%) monotherapy. Several patient‐level factors dictated the selection of broader‐spectrum antibiotics, including having a recent urine culture showing growth of a resistant organism (85% for extended‐spectrum ß‐lactamase‐producing organisms, 90% for carbapenemase‐producing organisms, and 94% for Pseudomonas aeruginosa ). Respondents attributed high importance to the appropriateness of empirical therapy, which 87% judged important to prevent mortality. Significant practice and opinion variations were observed between and within countries. Conclusion High‐quality studies are needed to guide the empirical management of post‐transplant pyelonephritis. In particular, whether prior urine culture results should systematically be reviewed and considered remains to be determined. Studies are also needed to clarify the relationship between the appropriateness of initial empirical therapy and outcomes of post‐transplant pyelonephritis. image
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/tid.14362
- OA Status
- hybrid
- Cited By
- 3
- References
- 30
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4401887394
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4401887394Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/tid.14362Digital Object Identifier
- Title
-
Initial empirical antibiotic therapy in kidney transplant recipients with pyelonephritis: A global survey of current practice and opinions across 19 countries on six continentsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-08-26Full publication date if available
- Authors
-
Julien Coussement, Shyam Bihari Bansal, Anne Scemla, My Svensson, Laura Barcán, Olivia Smibert, Wanessa Trindade Clemente, Francisco López‐Medrano, Tomer Hoffman, Umberto Maggiore, Concetta Catalano, Luuk B. Hilbrands, Oriol Manuel, Tinus Du Toit, Terence Kee, Nizamuddin Chowdhury, Ondrej Viklicky, Rainer Oberbauer, Samuel Markowicz, Hannah Kaminski, Matthieu Lafaurie, Lı́gia Camera Pierrotti, Tiago Lemos Cerqueira, Dafna Yahav, Nassim Kamar, Camille N. KottonList of authors in order
- Landing page
-
https://doi.org/10.1111/tid.14362Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1111/tid.14362Direct OA link when available
- Concepts
-
Medicine, Antibiotic therapy, Intensive care medicine, Antibiotics, Kidney transplantation, Kidney transplant, Family medicine, Kidney, Internal medicine, Microbiology, BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
3Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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30Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| corresponding_author_ids | https://openalex.org/A5068339845, https://openalex.org/A5003267554 |
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| corresponding_institution_ids | https://openalex.org/I136199984, https://openalex.org/I165779595, https://openalex.org/I2800555584, https://openalex.org/I4210087915, https://openalex.org/I4210149295 |
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