Post transplant care

Abstract

The care given to patient following kidney transplantation is of utmost importance and the ultimate success of the procedure largely rests in tile quality of care. This include in the first transplant patient several aspects. 1. Intensive nursing care. 2. Dialysis back up. 3. Intensive medical care 4. Coordination of the biochemistry, bacteriology and radiology services. 5. Conducting a daily case conference. Mr. L. T. a 38 year old hospital attendant received a kidney from his father Mr. C. T. a 66 year old retired hospital attendant on the 5th Oct.1985. His subsequent course during hospital stay (for 1 month) and to date will be outlined. He had the following complications which were 1. Plasmodium falciparum malaria , 2. Acute transplant rejection 3. Urinary leak, 4. Lympoedema of thigh, 5. Urinary tract infection. All complications were detected early due to the intensive monitoring and dealt with effectively. He has not needed a single haemodialysis after the transplant and the creatinine clearance at 3 months in 43 mls/mt. being treated with predinisolone and azathioprine as the main anti rejection drugs. Cyclosporin and ALG were not used because of the high cost of these drugs.