The influence of surgical site infections on quality of life in live kidney donors

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K. Muller, R.C. Minnee, H.J.A.N. Kimenai, L.S.S. Ooms, S. Janki, E.N. Bossenbroek, T. Terkivatan, J.N.M Ijzermans

Chair(s): J. Dackus

Thursday 9 march 2017

13:00 - 13:15h

Categories: Poster - Verpleegkundig

Parallel session: Postersessie - Verpleegkundig

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Live kidney donors are healthy individuals who underwent donor nephrectomy without benefits. In our hospital we observed an increase in surgical site infections (SSI) in donors. Literature of SSI in donors and its risk factors are scarce. Besides little is known about the effect of SSI on daily life of donors.

The aim of this study is to identify risk factors for SSI in donors and examine the effect of SSI on Quality of Life (QoL).

Baseline characteristics, intra- and postoperative findings were measured. No prophylactic antibiotics were given perioperatively. QoL was recorded preoperatively and 1 and 3 months postoperatively. SSI influence on daily life was measured using the SF-36 questionnaire. The study population was divided into 2 groups; donors with and without SSI.

All donors (N=399) between January 2012 and December 2015 were included. No significant characteristics differences between both groups were found. Donors with SSI (N=35) underwent a hand-assisted approach (p=0.020) and had significant higher postoperative pain at day 2 (p=0.017). Hospitalization time was longer (5 vs. 3 days) in donors with SSI (p<0.001). Small significant differences in QoL 4 weeks postoperatively, between both groups were detected. After 3 months, QoL did not differ between donors with SSI and donors without SSI. Not all donors (N=6) with SSI had returned to work after 3 months.

Hand-assisted donor nephrectomy is a risk factor for developing SSI. Four weeks postoperatively donors with SSI had lowers scores in 2 dimensions of the SF-36 (physical functioning and social role functioning). After 3 months no differences in QoL were found between both donor groups.