Bacteriuria In Patient Research Articles

Predicting the risk of sepsis and causative organisms following urinary stones removal using urinary versus stone and stent cultures.

The association between foreign objects in the urinary system and urinary tract infections (UTI) is well established. The incidence of bacteriuria in patient with urinary catheters increases as dwelling time lengthens. The presence of ureteral stents and kidney stones is also associated with increased risk for bacteriuria and urinary tract infection. The aim of this study was to assess the bacterial characteristics of urine culture (UC) and foreign body culture (FBC), the concordance between them, and to identify risk factors for postoperative infections, in order to improve the treatment in these patients, using a prospectively collected database of patients who underwent ureteroscopy or percutaneous nephrolithotomy (PCNL) for the treatment of urinary stones between 2005 and 2016 at our institute. Preoperative UC was obtained from voided mid-stream urine for all patients. FBCs were obtained from ureteral stents removed and stones collected during the surgery. The cohort included 1011 patients. Mean age was 53 (SD 15.8), and 679 (67.2%) patients were male. Two hundred eighteen (21.6%) had a UTI in the year prior to the surgery. Among 795 patients who had sterile UC, 98 (12.3%) patients had positive FBC. Positive FBC was found in 53.7% of the patients with positive UC; however, FBC pathogens were similar to those identified in UC in 31% patients. The sensitivity of UC to detect FBC pathogens was 31.3%, and the PPV was 0.31. Urine cultures do not recognize all cases of pathogens colonizing foreign bodies in the urinary system. The colonization may be associated with an increased risk for SIRS. In more than one-quarter of the patients, the causative pathogen of sepsis is identified by FBC, but not by UC.

Effects of bladder irrigation with chlorhexidine and normal saline on prevention of bacteriuria in patient with foley catheter

Effects of bladder irrigation with chlorhexidine and normal saline on prevention of bacteriuria in patient with foley catheter Samimi, Gh. 1 (MSN); Ezzati, Zh. *2 (MSN); Sarokhani, M. R.3 (PhD); Mosalaii, S. S.4 (MD); Mehrabi, Y.5 (PhD) 1. Alumnus, Faculty of Nursing and Midwifery, International Branch of Shahid Beheshti University of Medical Sciences, Tehran, Iran.2. Lecturer, Dept. of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 3. Associate Professor, Dept. of Laboratory Science, Faculty of Health, Qazvin University of Medical Sciences, Qazvin, Iran.4. Nephrologist, Bo-Ali Hospital, Qazvin University of Medical Sciences, Qazvin, Iran.5. Professor, Dept. of Epidemiology, Faculty of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Abstract Background and aimUrinary tract infection (UTI) is the most common infection acquired in both hospitals and nursing homes and is usually associated with catheterization. The aim of this study was to compare the effects chlorhexidine 0.2% with saline for bladder irrigation on preventing bacteriuria in patients with foley catheter. Materials and MethodsIn this randomized clinical trial, 60 neurologic patients 50 years old and over in need of foley catheter for at least 14 days with no UTI at the beginning of the study were enrolled, catheterized by one of the researchers and randomly divided into two groups of chlorhexidine %0.2 and saline. Bladder irrigation was performed on days 3 and 10 following catheterization. A questionnaire and urine analysis as well as culture were used for data collection, each of which was validated and made reliable. Different statistical tests including T-student and Chi square as well as logistic regression were used for data analysis. Findings With respect to negative culture results in both groups on days 1 and 2, a significant difference was found between chlorhexidine (30%) and saline (77.3%) groups (P

941 A CRANBERRY PREPARATION (VACCINIUM MACROCARPON) IS EFFECTIVE TO REDUCE ASYMPTOMATIC BACTERIURIA IN PATIENT WITH AN ILEAL ENTEROCYTOSPLASTY

You have accessJournal of UrologyUrinary Diversion: Bladder Reconstruction, Augmentation, Substitution, Diversion II1 Apr 2010941 A CRANBERRY PREPARATION (VACCINIUM MACROCARPON) IS EFFECTIVE TO REDUCE ASYMPTOMATIC BACTERIURIA IN PATIENT WITH AN ILEAL ENTEROCYTOSPLASTY Henry Botto, and Yann Neuzillet Henry BottoHenry Botto More articles by this author , and Yann NeuzilletYann Neuzillet More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1820AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Bacteriuria is a usual complication of enterocystoplasty following cystectomy. Cranberry products may decrease the number of urinary tract infections because of a none-dialysable compound, a condensed tannin, the proanthocyanidin (PAC) type A. We determined the effectiveness of treatment with a cranberry preparation highly dosed in proanthocyanidin A in prevention of recurrent bacteriuria in patients with an ileal enterocystoplasty. METHODS Between november 2004 and november 2008, a controlled before-after study was open to patients seen in consultation for follow up after a radical cystectomy and ileal cystoplasty. Patients had an history of repeated urinary infection and/or bacteriuria during the pre-treatment phase. During the treatment phase, patients received a cranberry preparation (Vaccinium macrocarpon) highly dosed in proanthocyanidin A (36 mg measured by DMAC method), 1 capsule a day. The primary endpoint was the absence of germ in urine culture. The secondary endpoint were the presence or absence of symptom (pain, fever), continence status, and upper excretory tract enlargement. RESULTS Fifteen patients were included. The median duration of period without treatment by cranberry compound was 18.5 (1-93) months. The median duration of the period with treatment by cranberry compound was 21.7 (1-48) months. There was a significant decrease in the number of positive urine cultures during cranberry compound treatment. CONCLUSIONS Treatment by a cranberry compound, seems to be effective to reduce the asymptomatic bacteriuria in patient with an ileal enterocytosplasty. These results need to be validated by further double blind randomized study. Suresnes, France© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e367 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Henry Botto More articles by this author Yann Neuzillet More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...

A Study on Incidence of Bacteriuria according to Bladder Irrigation in Patients with Indwelling Catheter

The Purpose of this study is for clinical nurses to be aware of the significance of prevention against bacteriuria caused form foley catheterization, through probing variables related to the occurrence of bacteriuria which appears as the most frequent occurring infection, and try to lower bacteriuria by applying to nursing care at the clinical. For this study 46 patients with catheterization and the closed drainage system were sampled and investigated from among patients at Intensive Care Unit in Two hospitals affiliated to K University in Seoul. Those patients sampled had not shown bacteriuria before foley catheterization. The research design is to explore the effectiveness of prevention against bacteriuria in accordance with bladder irrigation and no bladder irrigation. Especially, the frequency of occurrence of bacteriuria examined so as to compare the effectiveness of bladder irrigation depending on the type of foley catheter between 2-lumen foley catheter and 3-lumen foley catheter. The results Were as follows. 1. The occurrence of bacteriuria in patient with bladder irrigation was 21.7%, while in patient without bladder irrigation 26.1%. 2. The occurrence of bacteriuria in patient without bladder irrigation according to duration of indwelling catheter, was 4.3% after 48 h, 8.7% after 72 h and 21.7% after 96 h. 3. In case of 2-lumen foley catheter the occurrence of bacteriuria in patient with bladder irrigation was 0% after 72 h, and 4.35% after 96 h. In case of 3-lumen foley catheter, the occurrence of bacteriuria in patient with bladder irrigation was 13% after 48 h, 8.7% after 72 h and 4.3% after 96 h. 4. The occurrence of bacteriuria according to duration of catheterization was 8.7% after 48h, 8.7% after 72 h and 15.2% after 96 h. In sex, female was 35% and male 15.4%. 5. The occurrence of bacteriuria according to mental state was 15% in clear state, while 29.6% in mental disorder. 6. In regard to a kind of microorganism induced bacteriuria, Gram negative bacteria was 63.7%, Gram positive bacteria 36.3%.