“
“Background:
Validity, reliability and clinical value of classical urinary parameters for transplant monitoring are controversial. Urinary parameters were analyzed regarding cost-effectiveness, frequency of urinary tract infection and prediction of renal graft function and rejection. Sotrastaurin Methods: Urinary parameters of the first two postoperative weeks of 120 renal transplant patients were retrospectively correlated with the postoperative course. Results: Creatinine levels were significantly different on each postoperative day between the groups with and without rejection. Osmolaluria, diuresis and serum creatinine are equivalent in predicting graft rejection. Osmolaluria is SU5402 in vivo not suitable as a distinguishing criterion between graft rejection and other complications. Measurement of glucosuria has no diagnostic value. Proteinuria has no prognostic relevance regarding rejection, although proteinuria >0.5g/l occurred more often in patients with rejection.
Despite antibiotic prophylaxis with co-trimoxazole, 41 of 120 patients (34%) suffered from urinary tract infection (UTI; mostly E. coli) within the first 14 days after transplantation. Conclusions: The measurement of some classical urinary parameters delivers no diagnostic gain. UTIs are frequent despite antibiotic prophylaxis, but the use of urine cultures makes sense only if a (cheaper) semiquantitative test is positive. Copyright (C) 2013 S. Karger AG, Basel”
“Aim/Background: Experimental and clinical studies revealed contradictory data concerning see more the influence of renin-angiotensin-aldosterone (RAA) system activation on visfatin release. The aim of the present study was the assessment of the effect of dietary sodium restriction with RAA system activation on visfatin level in hypertensive and normotensive patients with visceral obesity. Methods: The study included 24 hypertensive patients with visceral obesity (12 women) and 22
normotensive subjects with visceral obesity (11 women) constituting the control group. Plasma renin activity, plasma insulin, aldosterone and visfatin levels were determined twice, on normal-salt diet after 6-8 h in recumbent position and the second time after 3 days of dietary sodium restriction and upright position for 2 h. Dietary compliance was controlled by 24 h natriuresis measurement. Results: Hypertensive patients had significantly higher plasma visfatin level than the control group [11.0 (8.5-13.5) vs. 6.8 (6.0-7.6) ng/ml, p=0.003]. Dietary sodium restriction and upright position caused significant increase in PRA and plasma aldosterone level in both groups. While, plasma visfatin level remained unaffected. In the combined group plasma visfatin levels correlated with BMI (r=0.398), waist circumference (r=0.391), glucose (r=0.328), insulin (r=0.663), HOMA-IR (r=0.698), triglycerides (r=0.500) and CRP (r=0.