Evidence map›Paper›PMID 40991313›Full record

SynthesisClinical transplantation2025

Early Onset Mycoplasma spp. Infection After Kidney Transplantation: A Systematic Review.

Carlo Galdino Riva, Roberto Cacciola, Giulia Cusumano, Chiara Maria Pia Mansueto, Carlo Alfieri, Federico Ambrogi, Serena Delbue, Andrea Lombardi, Mariano Ferraresso, Evaldo Favi

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Carlo Galdino RivaGeneral Surgery and Kidney Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID https://orcid.org/0000-0001-6465-428X
Roberto CacciolaDipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali, Università degli Studi di Messina, Messina, Italy.ORCID https://orcid.org/0000-0001-8363-1358
Giulia CusumanoGeneral Surgery and Kidney Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID https://orcid.org/0009-0003-7888-0386
Chiara Maria Pia MansuetoGeneral Surgery and Kidney Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID https://orcid.org/0009-0007-4686-6511
Carlo AlfieriNephrology, Dialysis, and Kidney Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID https://orcid.org/0000-0003-3860-5219
Federico AmbrogiDipartimento di Scienze Cliniche e di Comunità, Dipartimento di Eccellenza 2023-2027, Università degli Studi di Milano, Milan, Italy.ORCID https://orcid.org/0000-0001-9358-011X
Serena DelbueLaboratory of Molecular Virology, Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, Milan, Italy.ORCID https://orcid.org/0000-0002-3199-9369
Andrea LombardiInfectious Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID https://orcid.org/0000-0002-0383-9579
Mariano FerraressoGeneral Surgery and Kidney Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID https://orcid.org/0000-0003-3410-9090
Evaldo FaviGeneral Surgery and Kidney Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Funding

Grant Ricerca CorrenteItalian Ministry of Health
6 · The paper itself

Abstract

backgroundIn recent years, there has been a progressive increase in the number of Mycoplasma spp. infections (MIs) reported among kidney transplant (KT) recipients. Although in these patients MIs have been associated with life-threatening complications and graft failure, specific epidemiology, clinical characteristics, diagnostic work-up, and treatment strategies remain undefined.

methodsWe performed a systematic review (PubMed, Embase, Scopus, and Cochrane) of MIs after kidney transplantation (PROSPERO ID: CRD42024520942).

resultsOur work summarizes 13 case reports, 7 retrospective case series, and 1 retrospective uncontrolled cohort study, published between 1970 and 2023, collectively reporting 30 episodes of MIs. Due to the scarcity of information, incidence, prevalence, and predisposing factors could not be explored. Time interval between kidney transplantation and MIs ranged between 3 and 120 days. More often, the surgical site (n = 18) or the urinary tract (n = 6) was involved, with most infections sustained by Mycoplasma hominis (n = 28). Clinical features included fever (n = 18), abdominal pain (n = 8), leukocytosis (n = 8), and elevated CRP levels (n = 6). The definitive diagnosis was obtained using microbial cultures (n = 16) or PCR method (n = 12), and the time required for identification varied from 3 to 90 days. Preferred antibiotics were tetracyclines (n = 19) and quinolones (n = 9). Overall, MIs led to 20 surgical interventions, 6 graft losses, and 2 deaths.

conclusionFuture research projects should consider the epidemiology of Mycoplasma spp. infection in solid organ transplant recipients.

Indexed as

Graft RejectionKidney TransplantationMycoplasmaMycoplasma InfectionsPostoperative ComplicationsGraft SurvivalHumansPrognosisRisk Factorscomplicationsinfectionskidney transplantMollicutesMycoplasmaoutcomessystematic review

Identifiers

PMID40991313
PMCPMC12459649

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.