MP5-02 POSTOPERATIVE BACTERIURIA, PYURIA AND URINARY TRACT INFECTION IN PATIENTS WITH AN ORTHOTOPIC SIGMOID COLON NEOBLADDER RECONSTRUCTION

Abstract

You have accessJournal of UrologyUrinary Diversion: Bladder Reconstruction, Augmentation, Substitution, Diversion1 Apr 2014MP5-02 POSTOPERATIVE BACTERIURIA, PYURIA AND URINARY TRACT INFECTION IN PATIENTS WITH AN ORTHOTOPIC SIGMOID COLON NEOBLADDER RECONSTRUCTION Katsumi Shigemura, Kazushi Tanaka, Soichi Arakawa, Hideaki Miyake, and Masato Fujisawa Katsumi ShigemuraKatsumi Shigemura More articles by this author , Kazushi TanakaKazushi Tanaka More articles by this author , Soichi ArakawaSoichi Arakawa More articles by this author , Hideaki MiyakeHideaki Miyake More articles by this author , and Masato FujisawaMasato Fujisawa More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.385AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We often observe postoperative bacteriuria, pyuria and urinary tract infection (UTI) in patients after an orthotopic sigmoid colon neobladder replacement but their investigation has not yet been fully performed. The purpose of this study is to investigate the prevalence of postoperative bacteriuria, pyuria and urine culture in patients with an orthotopic sigmoid colon neobladder replacement. METHODS Urine samples for bacteriuria, pyuria and urine culture, if necessary, were collected at 1, 3, 6, 9, and 12 months after surgery. The presence of bacteriuria and pyuria, and positive culture tests from urine or blood were recorded. The antibiotic susceptibilities of cultured bacteria were examined and antibiotic resistant strains were recorded. The treatments for UTI cases were also investigated. RESULTS Of 209 for bacteriuria and 207 for pyuria urine samples with evaluable data, 95 (45.5 %) were positive for bacteriuria and 76 (36.7 %) had pyuria (10 or more white blood cells / high power field (hpf)). Totally 30 bacteria were isolated from urine culture and Klebisiella pneumoniae, Escherichia coli, Staphylococcos aureus, and Enterococcus spp. strains were representatively isolated most frequently. The incidence of pyuria significantly decreased over time (p=0.041) but that of bacteriuria did not (p=0.107). In them, there were 6 bacteria (20.7 %) with antibiotic resistant strains which were not susceptible to 2 or more kinds of antibiotics in beta-lactams, aminoglycosides and fluoroquinolones. The antibiotics used for their treatments representatively were levofloxacin in 5 cases, tazobactam/piperacillin in 3 cases, and sulfamethoxazole/trimethoprim and cefepime, meropenem in 2 cases, respectively. CONCLUSIONS These findings suggest that physicians taking care of sigmoid colon neobladder patients need to be aware these high ratios of bacteriuria, pyuria, and UTI including bacteremia and decreasing trend of pyuria over time postoperatively. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e82 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Katsumi Shigemura More articles by this author Kazushi Tanaka More articles by this author Soichi Arakawa More articles by this author Hideaki Miyake More articles by this author Masato Fujisawa More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...