Age and sex disparity in infectious complications after kidney transplantation

Bratisl Lek Listy. 2022;123(7):463-469. doi: 10.4149/BLL_2022_074.

Abstract

kidney transplantation (KT).

Background: Potent immunosuppression lowers the incidence of acute graft rejection but increases the risk of post-transplant infections. Older adults and females are at high risk of infections leading to poor outcome after KT.

Materials: Our analysis consisted of 66 males and 34 females after KT, average age 47.5±12.6 years.

Results: Female gender was a RF for the incidence of infection in general (p=0.0054), recurrent (p=0.0239), bacterial (p=0.0125) and mycotic infection (p=0.0103), recurrent bacterial infection (p=0.0258) 1st month after KT, RF for the incidence of infection in general (p=0.0218), bacterial (p=0.0186), mycotic (p=0.0318), recurrent (p=0.0216), recurrent bacterial infection (p=0.0368) from 1st to 6th month after KT and RF for the incidence of bacterial (p=0.0144), single (p=0.0355), recurrent (p=0.0007) and single bacterial infection (p=0.0309) 6 months after KT. Age >60 years was not found as a RF for the incidence of single, repeat infection regarding its aetiology.

Conclusion: We found significant sex differences in the incidence of single and repeat infections in different time intervals after KT (Tab. 4, Fig. 3, Ref. 31).

Keywords: gender disparity; infection acute kidney rejection.; kidney transplantation; sex disparity.

MeSH terms

  • Adult
  • Aged
  • Bacterial Infections* / epidemiology
  • Female
  • Graft Rejection / epidemiology
  • Graft Survival
  • Humans
  • Immunosuppression Therapy
  • Kidney Transplantation* / adverse effects
  • Male
  • Middle Aged
  • Retrospective Studies
  • Risk Factors