Objective To explore the effects of urinary tract infection by drug-resistant bacteria derived from cardiac death donor on renal allograft recipients. Methods The data of 88 donors and recipients renal transplantations between January 2017 and August 2017 in Tianjin First Center Hospital，were analyzed retrospectively. Pathogens in the blood and urine samples of cardiac death donors were examined. The recipient's infection was analyzed. Results A total number of 11 donors developed urine infections owing to multidrugresistant bacteria without bloodstream infections. The predominant organism isolated from the blood of donors was Gram-positive bacteria（55.56%）. A total number of 11 recipients received grafts with positive urine culture， 10 recipients had no infection and 1 recipient had urinary tract infection. However，the pathogen was not the bacteria found in the donor urinary tract. No renal recipients developed donor-derived bacterial infections. Conclusion Our findings supported that renal grafts from DCD donors with urinal infections by multidrug-resistant bacteria can be used on condition of that donors and recipients received appropriate antimicrobial therapy.