POLSKIE฀ARCHIWUM฀MEDYCYNY฀WEWNĘTRZNEJ฀ 2008;฀118฀(12) 700 IntroductIon ����� �� ������� ������ ����� ����� �� ������� ������ ����� d��d� (a���� 15� �h��sa�d �� P��a�d) s�f�� f��� �y�� 1 d�a����s. D�s���� c��������s adva�c�s �� d�ag��s��c a�d ���a����� ���h�ds, �y�� 1 d�a� ����s c�������s �� ��s��� �� ch����c ���a� d�s�as�s, v�s��� ��ss, ����� ���� a����a����s a�d ca�d��� vasc��a� d�s�as�s �� �a�y �a�����s. 1 h� D�a��� ��s C������ a�d C�����ca����s T��a� has c��i�� ��d �ha� �h� d�v�������� �f ch����c c�����ca� ����s, �h�ch a�� �h� �a�� ca�s� �f d�sa�������s a�d ����a���� d�a�hs �f �a�����s ���h �y�� 1 d�a����s, ca� �� ���v����d �y �����s�v� ���a����c c������ �h�ch, h���v��, ��ads �� a� ��c��as�d ��c�d��c� �f hy��g�yc���a a�d ��c��as�d ��dy �ass. 2 Pa�c��as ��a�s��a��a���� �s a ���h�d �f d�a��� ��s ���a����� �h�ch a����s f�� ��s���a���� �f ��� d�g����s ��s���� ���d�c���� a�d ��s���s ����a� g�yc���a ���h��� ��sk �f hy��g�yc���a. 3 Pa�c��� as �as i�s� ��a�s��a���d �� 1966 �y K���y a�d L����h�� �h� �h�s �a�ag�d �� ach��v� ��s���� orIGInAL฀ArtIcLE Bac����a� ��f �c����s as c�����ca����s �� �a�����s ���h�� 3 ����hs af��� s�����a����s �a�c��as�k�d��y ��a�s��a��a���� ���cja M��cza�czyk 1 , K�zysz��f F��czak 2 , �g���szka S�� �acka 3 , Ma��k D����k 4,5 , ��d�z�j Rydz��sk� 3,5 , Ed�a�d F�a��k 1,6 1฀ Department฀of฀Internal฀Diseases,฀Endocrinology฀and฀Diabetology,฀Central฀Clinical฀Hospital฀Ministry฀of฀Interior฀and฀Administration,฀Warszawa,฀Poland 2฀ Department฀of฀Bacteriology,฀Central฀Clinical฀Hospital฀Ministry฀of฀Interior฀and฀Administration,฀Warszawa,฀Poland 3฀ Department฀of฀Internal฀Diseases฀and฀Nephrology,฀Central฀Clinical฀Hospital฀Ministry฀of฀Interior฀and฀Administration,฀Warszawa,฀Poland 4฀ Department฀of฀Gastroenterology฀Surgery฀and฀Transplantology,฀Central฀Clinical฀Hospital฀Ministry฀of฀Interior฀and฀Administration,฀Warszawa,฀Poland 5฀ Department฀of฀Transplantology,฀Medical฀Research฀Center,฀Polish฀Academy฀of฀Science,฀Warszawa,฀Poland 6฀ Department฀of฀Endocrinology,฀Medical฀Research฀Center,฀Polish฀Academy฀of฀Science,฀Warszawa,฀Poland Correspondence฀to: Prof.฀Edward฀Franek,฀MD,฀PhD,฀Klinika฀ Chorób฀Wewnętrznych,฀Endokryno logii฀i฀Diabeto฀ logii,฀CSK฀MSWiA,฀ ul.฀Wołoska฀137,฀02฀฀507฀Warszawa,฀ Poland,฀phone:฀+฀4822฀฀5081405,฀ fax:฀+฀4822฀฀5081400,฀ email:฀edward.franek@cskmswia.pl Received:฀May฀8,฀2008. Revision฀accepted:฀July฀20,฀2008. Conflict฀of฀inter฀est:฀none฀declared. Pol฀Arch฀Med฀Wewn.฀2008;฀ 118฀(12):฀700704 Copyright฀by฀Medycyna฀Praktyczna,฀ Kraków฀2008 AbstrAct IntroductIon฀ Simultaneous฀pancreas‑kidney฀transplantation฀(SPK)฀is฀associated฀with฀high฀risk฀ of฀infectious฀complications. objEctIvEs฀ The฀aim฀of฀the฀study฀was฀to฀evaluate฀the฀incidence฀of฀bacterial฀infections฀within฀ 3฀months฀after฀SPK฀transplantation. PAtIEnts฀And฀mEthods฀ 17฀patients฀with฀type฀1฀diabetes฀at฀the฀age฀of฀32–54฀years฀(mean฀age฀ 42.5฀±7.1)฀were฀retrospectively฀analyzed฀within฀3฀months฀after฀SPK. rEsuLts฀ No฀septic฀complications฀were฀observed฀in฀2฀patients฀(12%).฀In฀the฀remaining฀15฀patients฀ (88%),฀at฀least฀1฀(from฀1฀to฀5,฀a฀total฀of฀30)฀infection฀episode฀was฀observed฀during฀follow‑up.฀ The฀infections฀were฀located:฀only฀at฀the฀surgical฀site฀(1฀patient฀–฀6.7%),฀only฀in฀the฀urinary฀tract฀(6฀ patients฀–฀40%),฀both฀at฀the฀surgical฀site฀and฀in฀the฀urinary฀tract฀(7฀patients฀–฀46.7%),฀at฀the฀surgical฀ site฀and฀in฀blood฀(1฀patient฀–฀6.7%).฀2฀groups฀of฀microbes฀were฀predominant,฀namely฀enterococci฀ represented฀by฀1฀species,฀ E.฀faecium฀(13฀isolates)฀and฀the฀so‑called฀intestinal฀bacilli,฀ Enterobacte- riaceae฀(19฀isolates).฀No฀methicillin฀resistant฀Staphylococcus฀aureus฀strains฀were฀isolated.฀Candida฀ species฀fungi฀were฀isolated฀only฀3฀times. concLusIons฀ In฀our฀study฀only฀2฀types฀of฀infections฀were฀observed฀(urinary฀tract฀and฀surgical฀site฀ infections)฀and฀each฀of฀them฀comprised฀nearly฀half฀of฀all฀the฀septic฀episodes฀recorded.฀Gram‑negative฀ bacilli฀were฀collected฀more฀often฀than฀Gram‑positive฀cocci,฀both฀from฀the฀surgical฀site฀and฀urinary฀ tract฀infections.฀All฀infections฀ended฀with฀full฀recovery. KEY฀Words infectious฀ complications,฀ pancreas‑kidney฀ transplantation