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Acute Respiratory Distress Syndrome in Renal Transplant Patients with Pneumonia

Received: 18 September 2014     Accepted: 5 October 2014     Published: 20 October 2014
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Abstract

Objective: To establish the frequency of Acute Respiratory Distress Syndrome in kidney transplant patients with pneumonia and to define the risk factors associated with its development. Material and Methods: 81 kidney transplant patients hospitalized with pneumonia for the period of three years were studied. All the recipients were observed for the development of Acute Respiratory Distress Syndrome. Different noninvasive and invasive diagnostic tests were used. Results: 15 of the patients with pneumonia developed ARDS. The factors associated with increased risk for the development of Acute Respiratory Distress Syndrome included pneumonia in 1-6 month after transplantation, increased level of C – reactive protein, Cytomegalovirus-infection, bilateral lung infiltrates and failure of initial antibiotic therapy. Conclusions: The risk factors can be used to identify patients with pneumonia at increased risk for development of Acute Respiratory Distress Syndrome. Strict monitoring of high-risk patients can reduce the morbidity and mortality after renal transplantation.

Published in Science Journal of Clinical Medicine (Volume 3, Issue 5)
DOI 10.11648/j.sjcm.20140305.14
Page(s) 98-103
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Recipient, Transplantation, Pneumonia, ARDS

References
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  • APA Style

    Ventsislava Pencheva, Daniela Petrova, Diyan Genov, Ognian Georgiev. (2014). Acute Respiratory Distress Syndrome in Renal Transplant Patients with Pneumonia. Science Journal of Clinical Medicine, 3(5), 98-103. https://doi.org/10.11648/j.sjcm.20140305.14

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    ACS Style

    Ventsislava Pencheva; Daniela Petrova; Diyan Genov; Ognian Georgiev. Acute Respiratory Distress Syndrome in Renal Transplant Patients with Pneumonia. Sci. J. Clin. Med. 2014, 3(5), 98-103. doi: 10.11648/j.sjcm.20140305.14

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    AMA Style

    Ventsislava Pencheva, Daniela Petrova, Diyan Genov, Ognian Georgiev. Acute Respiratory Distress Syndrome in Renal Transplant Patients with Pneumonia. Sci J Clin Med. 2014;3(5):98-103. doi: 10.11648/j.sjcm.20140305.14

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  • @article{10.11648/j.sjcm.20140305.14,
      author = {Ventsislava Pencheva and Daniela Petrova and Diyan Genov and Ognian Georgiev},
      title = {Acute Respiratory Distress Syndrome in Renal Transplant Patients with Pneumonia},
      journal = {Science Journal of Clinical Medicine},
      volume = {3},
      number = {5},
      pages = {98-103},
      doi = {10.11648/j.sjcm.20140305.14},
      url = {https://doi.org/10.11648/j.sjcm.20140305.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20140305.14},
      abstract = {Objective: To establish the frequency of Acute Respiratory Distress Syndrome in kidney transplant patients with pneumonia and to define the risk factors associated with its development. Material and Methods: 81 kidney transplant patients hospitalized with pneumonia for the period of three years were studied. All the recipients were observed for the development of Acute Respiratory Distress Syndrome. Different noninvasive and invasive diagnostic tests were used. Results: 15 of the patients with pneumonia developed ARDS. The factors associated with increased risk for the development of Acute Respiratory Distress Syndrome included pneumonia in 1-6 month after transplantation, increased level of C – reactive protein, Cytomegalovirus-infection, bilateral lung infiltrates and failure of initial antibiotic therapy. Conclusions: The risk factors can be used to identify patients with pneumonia at increased risk for development of Acute Respiratory Distress Syndrome. Strict monitoring of high-risk patients can reduce the morbidity and mortality after renal transplantation.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Acute Respiratory Distress Syndrome in Renal Transplant Patients with Pneumonia
    AU  - Ventsislava Pencheva
    AU  - Daniela Petrova
    AU  - Diyan Genov
    AU  - Ognian Georgiev
    Y1  - 2014/10/20
    PY  - 2014
    N1  - https://doi.org/10.11648/j.sjcm.20140305.14
    DO  - 10.11648/j.sjcm.20140305.14
    T2  - Science Journal of Clinical Medicine
    JF  - Science Journal of Clinical Medicine
    JO  - Science Journal of Clinical Medicine
    SP  - 98
    EP  - 103
    PB  - Science Publishing Group
    SN  - 2327-2732
    UR  - https://doi.org/10.11648/j.sjcm.20140305.14
    AB  - Objective: To establish the frequency of Acute Respiratory Distress Syndrome in kidney transplant patients with pneumonia and to define the risk factors associated with its development. Material and Methods: 81 kidney transplant patients hospitalized with pneumonia for the period of three years were studied. All the recipients were observed for the development of Acute Respiratory Distress Syndrome. Different noninvasive and invasive diagnostic tests were used. Results: 15 of the patients with pneumonia developed ARDS. The factors associated with increased risk for the development of Acute Respiratory Distress Syndrome included pneumonia in 1-6 month after transplantation, increased level of C – reactive protein, Cytomegalovirus-infection, bilateral lung infiltrates and failure of initial antibiotic therapy. Conclusions: The risk factors can be used to identify patients with pneumonia at increased risk for development of Acute Respiratory Distress Syndrome. Strict monitoring of high-risk patients can reduce the morbidity and mortality after renal transplantation.
    VL  - 3
    IS  - 5
    ER  - 

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Author Information
  • Department of Propedeutic of Internal Diseases, UMHAT “Alexandrovska”, Medical University, Sofia, Bulgaria

  • Department of Propedeutic of Internal Diseases, UMHAT “Alexandrovska”, Medical University, Sofia, Bulgaria

  • Clinic of Nephrology and Transplantation, UMHAT “Alexandrovska”, Medical University, Sofia, Bulgaria

  • Department of Propedeutic of Internal Diseases, UMHAT “Alexandrovska”, Medical University, Sofia, Bulgaria

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