A retrospective cohort study of infective complications and graft outcomes over 5 years in ABO-incompatible kidney transplant recipients: experience from a tertiary care centre in Saudi Arabia

Infections are prevalent in ABOi kidney transplant recipients, particularly in high-risk subgroups, including females, patients with diabetes and prior graft rejection. However, long-term graft survival remains favorable with no association between infections and graft rejection. Optimized immunosuppression and infection surveillance are crucial for improving patient outcomes. Larger multicenter studies are warranted to validate these findings.