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Is Bacterial Colonization in Ureteral Double-J Stents Significant and Is It Predictable?/Ureteral Double J Stentlerde Bakteri Kolonizasyonu Anlamli midir ve Idrar Testleri ile Tahmin Edilebilir mi?
Objective: Since microscopic hematuria and pyuria can be observed in patients with a ureteral double-J (DJ) stent in place, urinalysis findings are not considered significant in terms of predicting stent-related infections. This study evaluates the presence of bacterial colonization and the value/ef...
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Published in: | Journal of urological surgery 2020-06, Vol.7 (2), p.120 |
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creator | Sahan, Ahmet Cubuk, Alkan Ertas, Kasim Garayev, Asgar Talibzade, Ferhat Sekerci, Cagri Akin Toprak, Tuncay Tanidir, Yiloren |
description | Objective: Since microscopic hematuria and pyuria can be observed in patients with a ureteral double-J (DJ) stent in place, urinalysis findings are not considered significant in terms of predicting stent-related infections. This study evaluates the presence of bacterial colonization and the value/effectiveness of urine tests in predicting the results of DJ stent cultures. Materials and Methods: In the present prospective study, we analyzed data from patients who were treated with a DJ stent placement following endourological surgery due to ureteral stones. DJ stents were removed only after the urine cultures appeared sterile or after a period of empiric antibiotic use. The relationship between urinalysis results and stent cultures was assessed. Results: A total of 65 patients (mean age, 42.6[+ or -]13.5 years; 16 females and 43 males) were evaluated. Bacterial colonization was detected in 12 (18%) DJ stent cultures with Enterococcus faecalis (n=4), extended-spectrum beta-lactamase producer (ESBL (+) Escherichia coli (n=4), Corynebacterium urealyticum (n=2), candida (n=1) and methicillin-resistant Staphylococcus aureus (n=1) growth being reported. The antibiogram results of the patients that showed colonization in their cultures demonstrated penicillin (n=4), ampicillin (n=4), tetracycline (n=3), imipenem (n=2), and linezolid (n=1) sensitivity. The rate of leukocyte esterase- and nitrite-positive patients, of those having significant number of leukocytes, and urine culture-positive patients in the groups with and without positive urine culture was 58.5%, 32%, 49%, and 7.5% vs 50%, 16.6%, 50%, and 8.5%, respectively. There were no statistically significant differences between the groups (p=>0.05). None of the study patients applied to our hospital with active infection following DJ stent removal. Conclusion: Urinalysis is insufficient in predicting catheter culture results. Based on the results of this study, we assume that stent culture for removed DJ stents is not a necessity; empirical antibiotic therapy with ampicillin-tetracycline should be started in patients with postoperative infection. Keywords: Double J stent, Colonization, Urinalysis, Stent culture Amac: Ureteral Double-J (DJ) stent takilan hastalarda mikroskobik hematuri ve piyuri siklikla eslik ettiginden, idrar analizleri enfeksiyonlari ongorme acisindan anlamli sayilmazlar. Bu calisma, ureteral DJ stent kultur sonuclarini ongormede idrar testlerinin degeri/ etkinligi degerlendirmektedir. Gerec |
doi_str_mv | 10.4274/jus.galenos.2019.3007 |
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fullrecord | <record><control><sourceid>gale</sourceid><recordid>TN_cdi_gale_infotracmisc_A627513844</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A627513844</galeid><sourcerecordid>A627513844</sourcerecordid><originalsourceid>FETCH-LOGICAL-g674-8b5a8ba7e2a71b3f53d7ed56db960c575dc5ebd55532592b594f4f78b30ef87d3</originalsourceid><addsrcrecordid>eNptUM1Kw0AQDqJg0T6CMOA56eZnu8mp1Fo1WlBoPZfd7KRO3Wwgmwr6fr6XW-yhiMxhZpjvjwmCq5hFWSKy0Xbnoo00aFsXJSwuopQxcRIMkjjLw4Ln7PRoPg-Gzm0ZY7FI81gkg-C7dHAjqx47kgZmrWktfcmeWgtk4bVDf_GH23anDIaPsOzR9g6WtLFUUyVtD9Jq8CplDy8daqp66aGT0R8uHLgGO43e8n1vCU8HQ_fZ2h1MrZGNIWhIUwcfCKXuZAcrdHsaAXmZlXxrfLK59osi43ENTS6Ds1oah8NDvwhWd_PV7CFcPN-Xs-ki3IxFFuaKy1xJgYkUsUprnmqBmo-1Ksas4oLriqPSnPM04UWieJHVWS1ylTKsc6HTi-D6V3b_8DXZuu07WTXkqvV0nAgep3mWeVT0D8qXxoaq1mLtox8TfgDftI56</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Is Bacterial Colonization in Ureteral Double-J Stents Significant and Is It Predictable?/Ureteral Double J Stentlerde Bakteri Kolonizasyonu Anlamli midir ve Idrar Testleri ile Tahmin Edilebilir mi?</title><source>Publicly Available Content Database</source><source>EZB Electronic Journals Library</source><creator>Sahan, Ahmet ; Cubuk, Alkan ; Ertas, Kasim ; Garayev, Asgar ; Talibzade, Ferhat ; Sekerci, Cagri Akin ; Toprak, Tuncay ; Tanidir, Yiloren</creator><creatorcontrib>Sahan, Ahmet ; Cubuk, Alkan ; Ertas, Kasim ; Garayev, Asgar ; Talibzade, Ferhat ; Sekerci, Cagri Akin ; Toprak, Tuncay ; Tanidir, Yiloren</creatorcontrib><description>Objective: Since microscopic hematuria and pyuria can be observed in patients with a ureteral double-J (DJ) stent in place, urinalysis findings are not considered significant in terms of predicting stent-related infections. This study evaluates the presence of bacterial colonization and the value/effectiveness of urine tests in predicting the results of DJ stent cultures. Materials and Methods: In the present prospective study, we analyzed data from patients who were treated with a DJ stent placement following endourological surgery due to ureteral stones. DJ stents were removed only after the urine cultures appeared sterile or after a period of empiric antibiotic use. The relationship between urinalysis results and stent cultures was assessed. Results: A total of 65 patients (mean age, 42.6[+ or -]13.5 years; 16 females and 43 males) were evaluated. Bacterial colonization was detected in 12 (18%) DJ stent cultures with Enterococcus faecalis (n=4), extended-spectrum beta-lactamase producer (ESBL (+) Escherichia coli (n=4), Corynebacterium urealyticum (n=2), candida (n=1) and methicillin-resistant Staphylococcus aureus (n=1) growth being reported. The antibiogram results of the patients that showed colonization in their cultures demonstrated penicillin (n=4), ampicillin (n=4), tetracycline (n=3), imipenem (n=2), and linezolid (n=1) sensitivity. The rate of leukocyte esterase- and nitrite-positive patients, of those having significant number of leukocytes, and urine culture-positive patients in the groups with and without positive urine culture was 58.5%, 32%, 49%, and 7.5% vs 50%, 16.6%, 50%, and 8.5%, respectively. There were no statistically significant differences between the groups (p=>0.05). None of the study patients applied to our hospital with active infection following DJ stent removal. Conclusion: Urinalysis is insufficient in predicting catheter culture results. Based on the results of this study, we assume that stent culture for removed DJ stents is not a necessity; empirical antibiotic therapy with ampicillin-tetracycline should be started in patients with postoperative infection. Keywords: Double J stent, Colonization, Urinalysis, Stent culture Amac: Ureteral Double-J (DJ) stent takilan hastalarda mikroskobik hematuri ve piyuri siklikla eslik ettiginden, idrar analizleri enfeksiyonlari ongorme acisindan anlamli sayilmazlar. Bu calisma, ureteral DJ stent kultur sonuclarini ongormede idrar testlerinin degeri/ etkinligi degerlendirmektedir. Gerec ve Yontem: Endoskopik ureter tasi tedavisi sonrasi ureteral DJ stent takilan hastalarin verileri prospektif olarak analiz edildi. Idrar tahlilinde lokosit esteraz pozitifligi, nitrit pozitifligi, anlamli lokosit varligi ve idrar kulturunde ureme ile ureteral DJ stent kulturunde ureme arasindaki iliski degerlendirildi. Bulgular: Ortalama yasi 42[+ or -]68 yil olan 16 kadin ve 49 erkek toplam 65 hasta calismaya dahil edildi. Ureteral DJ stent kulturlerinin 12'sinde (%18) bakteri kolonizasyonu tespit edildi. Ureteral DJ stent kulturlerinde Enterokok faecalis (n=4), Escherichia coli (n=4), Corynebacterium urealyticum (n=2), kandida (n=1) ve metisilin rezistan staphylococcus aureus (n=1) uremesi raporlandi. Ureteral DJ stent kultur antibiyogramlarinda penisilin (n=4), ampisilin (n=4), tetrasiklin (n=3), imipenem (n=2), ve linezolid (n=1) duyarlilgi rapor edildi. Lokosit esteraz pozitifligi, nitrit pozitifligi, anlamli lokosituri ve idrar kulturunde ureme oranlari Ureteral DJ stent kulturunde ureme olan ve olmayan gruplar icin sirasiyla %58,5 vs. %50, %32 vs. %16,6, %49 vs. %50 ve %7,5 vs. %8,5 hesaplandi ve gruplar arasinda anlamli farklilik izlenmedi (p>0,05). Ureteral DJ stent cikarilmasindan sonra aktif enfeksiyon ile basvuru izlenmedi. Sonuc: Steril idrar kulturu ve idrar tahlili parametreleri ureteral DJ stent kultur sonuclarini ongormede yetersizdir. Bulgularimiza gore cikarilan ureteral DJ stentleri mikrobiyolojik inceleme yapmak klinik uygulamamiza katki saglamamaktadir. Ampisilin-tetrasiklin tedavisine postoperatif enfeksiyon bulgulari olan hastalarda ampirik olarak baslanmalidir Anahtar Kelimeler: Ureteral stent, Kolonizasyon, Idrar analizi, Stent kulturu</description><identifier>ISSN: 2148-9580</identifier><identifier>EISSN: 2148-9580</identifier><identifier>DOI: 10.4274/jus.galenos.2019.3007</identifier><language>eng</language><publisher>Galenos Yayinevi Tic. Ltd</publisher><subject>Analysis ; Beta lactamases ; Care and treatment ; Health aspects ; Imipenem ; Infection ; Medical research ; Methicillin ; Stents ; Tetracyclines ; Urinalysis</subject><ispartof>Journal of urological surgery, 2020-06, Vol.7 (2), p.120</ispartof><rights>COPYRIGHT 2020 Galenos Yayinevi Tic. Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Sahan, Ahmet</creatorcontrib><creatorcontrib>Cubuk, Alkan</creatorcontrib><creatorcontrib>Ertas, Kasim</creatorcontrib><creatorcontrib>Garayev, Asgar</creatorcontrib><creatorcontrib>Talibzade, Ferhat</creatorcontrib><creatorcontrib>Sekerci, Cagri Akin</creatorcontrib><creatorcontrib>Toprak, Tuncay</creatorcontrib><creatorcontrib>Tanidir, Yiloren</creatorcontrib><title>Is Bacterial Colonization in Ureteral Double-J Stents Significant and Is It Predictable?/Ureteral Double J Stentlerde Bakteri Kolonizasyonu Anlamli midir ve Idrar Testleri ile Tahmin Edilebilir mi?</title><title>Journal of urological surgery</title><description>Objective: Since microscopic hematuria and pyuria can be observed in patients with a ureteral double-J (DJ) stent in place, urinalysis findings are not considered significant in terms of predicting stent-related infections. This study evaluates the presence of bacterial colonization and the value/effectiveness of urine tests in predicting the results of DJ stent cultures. Materials and Methods: In the present prospective study, we analyzed data from patients who were treated with a DJ stent placement following endourological surgery due to ureteral stones. DJ stents were removed only after the urine cultures appeared sterile or after a period of empiric antibiotic use. The relationship between urinalysis results and stent cultures was assessed. Results: A total of 65 patients (mean age, 42.6[+ or -]13.5 years; 16 females and 43 males) were evaluated. Bacterial colonization was detected in 12 (18%) DJ stent cultures with Enterococcus faecalis (n=4), extended-spectrum beta-lactamase producer (ESBL (+) Escherichia coli (n=4), Corynebacterium urealyticum (n=2), candida (n=1) and methicillin-resistant Staphylococcus aureus (n=1) growth being reported. The antibiogram results of the patients that showed colonization in their cultures demonstrated penicillin (n=4), ampicillin (n=4), tetracycline (n=3), imipenem (n=2), and linezolid (n=1) sensitivity. The rate of leukocyte esterase- and nitrite-positive patients, of those having significant number of leukocytes, and urine culture-positive patients in the groups with and without positive urine culture was 58.5%, 32%, 49%, and 7.5% vs 50%, 16.6%, 50%, and 8.5%, respectively. There were no statistically significant differences between the groups (p=>0.05). None of the study patients applied to our hospital with active infection following DJ stent removal. Conclusion: Urinalysis is insufficient in predicting catheter culture results. Based on the results of this study, we assume that stent culture for removed DJ stents is not a necessity; empirical antibiotic therapy with ampicillin-tetracycline should be started in patients with postoperative infection. Keywords: Double J stent, Colonization, Urinalysis, Stent culture Amac: Ureteral Double-J (DJ) stent takilan hastalarda mikroskobik hematuri ve piyuri siklikla eslik ettiginden, idrar analizleri enfeksiyonlari ongorme acisindan anlamli sayilmazlar. Bu calisma, ureteral DJ stent kultur sonuclarini ongormede idrar testlerinin degeri/ etkinligi degerlendirmektedir. Gerec ve Yontem: Endoskopik ureter tasi tedavisi sonrasi ureteral DJ stent takilan hastalarin verileri prospektif olarak analiz edildi. Idrar tahlilinde lokosit esteraz pozitifligi, nitrit pozitifligi, anlamli lokosit varligi ve idrar kulturunde ureme ile ureteral DJ stent kulturunde ureme arasindaki iliski degerlendirildi. Bulgular: Ortalama yasi 42[+ or -]68 yil olan 16 kadin ve 49 erkek toplam 65 hasta calismaya dahil edildi. Ureteral DJ stent kulturlerinin 12'sinde (%18) bakteri kolonizasyonu tespit edildi. Ureteral DJ stent kulturlerinde Enterokok faecalis (n=4), Escherichia coli (n=4), Corynebacterium urealyticum (n=2), kandida (n=1) ve metisilin rezistan staphylococcus aureus (n=1) uremesi raporlandi. Ureteral DJ stent kultur antibiyogramlarinda penisilin (n=4), ampisilin (n=4), tetrasiklin (n=3), imipenem (n=2), ve linezolid (n=1) duyarlilgi rapor edildi. Lokosit esteraz pozitifligi, nitrit pozitifligi, anlamli lokosituri ve idrar kulturunde ureme oranlari Ureteral DJ stent kulturunde ureme olan ve olmayan gruplar icin sirasiyla %58,5 vs. %50, %32 vs. %16,6, %49 vs. %50 ve %7,5 vs. %8,5 hesaplandi ve gruplar arasinda anlamli farklilik izlenmedi (p>0,05). Ureteral DJ stent cikarilmasindan sonra aktif enfeksiyon ile basvuru izlenmedi. Sonuc: Steril idrar kulturu ve idrar tahlili parametreleri ureteral DJ stent kultur sonuclarini ongormede yetersizdir. Bulgularimiza gore cikarilan ureteral DJ stentleri mikrobiyolojik inceleme yapmak klinik uygulamamiza katki saglamamaktadir. Ampisilin-tetrasiklin tedavisine postoperatif enfeksiyon bulgulari olan hastalarda ampirik olarak baslanmalidir Anahtar Kelimeler: Ureteral stent, Kolonizasyon, Idrar analizi, Stent kulturu</description><subject>Analysis</subject><subject>Beta lactamases</subject><subject>Care and treatment</subject><subject>Health aspects</subject><subject>Imipenem</subject><subject>Infection</subject><subject>Medical research</subject><subject>Methicillin</subject><subject>Stents</subject><subject>Tetracyclines</subject><subject>Urinalysis</subject><issn>2148-9580</issn><issn>2148-9580</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNptUM1Kw0AQDqJg0T6CMOA56eZnu8mp1Fo1WlBoPZfd7KRO3Wwgmwr6fr6XW-yhiMxhZpjvjwmCq5hFWSKy0Xbnoo00aFsXJSwuopQxcRIMkjjLw4Ln7PRoPg-Gzm0ZY7FI81gkg-C7dHAjqx47kgZmrWktfcmeWgtk4bVDf_GH23anDIaPsOzR9g6WtLFUUyVtD9Jq8CplDy8daqp66aGT0R8uHLgGO43e8n1vCU8HQ_fZ2h1MrZGNIWhIUwcfCKXuZAcrdHsaAXmZlXxrfLK59osi43ENTS6Ds1oah8NDvwhWd_PV7CFcPN-Xs-ki3IxFFuaKy1xJgYkUsUprnmqBmo-1Ksas4oLriqPSnPM04UWieJHVWS1ylTKsc6HTi-D6V3b_8DXZuu07WTXkqvV0nAgep3mWeVT0D8qXxoaq1mLtox8TfgDftI56</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Sahan, Ahmet</creator><creator>Cubuk, Alkan</creator><creator>Ertas, Kasim</creator><creator>Garayev, Asgar</creator><creator>Talibzade, Ferhat</creator><creator>Sekerci, Cagri Akin</creator><creator>Toprak, Tuncay</creator><creator>Tanidir, Yiloren</creator><general>Galenos Yayinevi Tic. Ltd</general><scope/></search><sort><creationdate>20200601</creationdate><title>Is Bacterial Colonization in Ureteral Double-J Stents Significant and Is It Predictable?/Ureteral Double J Stentlerde Bakteri Kolonizasyonu Anlamli midir ve Idrar Testleri ile Tahmin Edilebilir mi?</title><author>Sahan, Ahmet ; Cubuk, Alkan ; Ertas, Kasim ; Garayev, Asgar ; Talibzade, Ferhat ; Sekerci, Cagri Akin ; Toprak, Tuncay ; Tanidir, Yiloren</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g674-8b5a8ba7e2a71b3f53d7ed56db960c575dc5ebd55532592b594f4f78b30ef87d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Analysis</topic><topic>Beta lactamases</topic><topic>Care and treatment</topic><topic>Health aspects</topic><topic>Imipenem</topic><topic>Infection</topic><topic>Medical research</topic><topic>Methicillin</topic><topic>Stents</topic><topic>Tetracyclines</topic><topic>Urinalysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sahan, Ahmet</creatorcontrib><creatorcontrib>Cubuk, Alkan</creatorcontrib><creatorcontrib>Ertas, Kasim</creatorcontrib><creatorcontrib>Garayev, Asgar</creatorcontrib><creatorcontrib>Talibzade, Ferhat</creatorcontrib><creatorcontrib>Sekerci, Cagri Akin</creatorcontrib><creatorcontrib>Toprak, Tuncay</creatorcontrib><creatorcontrib>Tanidir, Yiloren</creatorcontrib><jtitle>Journal of urological surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sahan, Ahmet</au><au>Cubuk, Alkan</au><au>Ertas, Kasim</au><au>Garayev, Asgar</au><au>Talibzade, Ferhat</au><au>Sekerci, Cagri Akin</au><au>Toprak, Tuncay</au><au>Tanidir, Yiloren</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is Bacterial Colonization in Ureteral Double-J Stents Significant and Is It Predictable?/Ureteral Double J Stentlerde Bakteri Kolonizasyonu Anlamli midir ve Idrar Testleri ile Tahmin Edilebilir mi?</atitle><jtitle>Journal of urological surgery</jtitle><date>2020-06-01</date><risdate>2020</risdate><volume>7</volume><issue>2</issue><spage>120</spage><pages>120-</pages><issn>2148-9580</issn><eissn>2148-9580</eissn><abstract>Objective: Since microscopic hematuria and pyuria can be observed in patients with a ureteral double-J (DJ) stent in place, urinalysis findings are not considered significant in terms of predicting stent-related infections. This study evaluates the presence of bacterial colonization and the value/effectiveness of urine tests in predicting the results of DJ stent cultures. Materials and Methods: In the present prospective study, we analyzed data from patients who were treated with a DJ stent placement following endourological surgery due to ureteral stones. DJ stents were removed only after the urine cultures appeared sterile or after a period of empiric antibiotic use. The relationship between urinalysis results and stent cultures was assessed. Results: A total of 65 patients (mean age, 42.6[+ or -]13.5 years; 16 females and 43 males) were evaluated. Bacterial colonization was detected in 12 (18%) DJ stent cultures with Enterococcus faecalis (n=4), extended-spectrum beta-lactamase producer (ESBL (+) Escherichia coli (n=4), Corynebacterium urealyticum (n=2), candida (n=1) and methicillin-resistant Staphylococcus aureus (n=1) growth being reported. The antibiogram results of the patients that showed colonization in their cultures demonstrated penicillin (n=4), ampicillin (n=4), tetracycline (n=3), imipenem (n=2), and linezolid (n=1) sensitivity. The rate of leukocyte esterase- and nitrite-positive patients, of those having significant number of leukocytes, and urine culture-positive patients in the groups with and without positive urine culture was 58.5%, 32%, 49%, and 7.5% vs 50%, 16.6%, 50%, and 8.5%, respectively. There were no statistically significant differences between the groups (p=>0.05). None of the study patients applied to our hospital with active infection following DJ stent removal. Conclusion: Urinalysis is insufficient in predicting catheter culture results. Based on the results of this study, we assume that stent culture for removed DJ stents is not a necessity; empirical antibiotic therapy with ampicillin-tetracycline should be started in patients with postoperative infection. Keywords: Double J stent, Colonization, Urinalysis, Stent culture Amac: Ureteral Double-J (DJ) stent takilan hastalarda mikroskobik hematuri ve piyuri siklikla eslik ettiginden, idrar analizleri enfeksiyonlari ongorme acisindan anlamli sayilmazlar. Bu calisma, ureteral DJ stent kultur sonuclarini ongormede idrar testlerinin degeri/ etkinligi degerlendirmektedir. Gerec ve Yontem: Endoskopik ureter tasi tedavisi sonrasi ureteral DJ stent takilan hastalarin verileri prospektif olarak analiz edildi. Idrar tahlilinde lokosit esteraz pozitifligi, nitrit pozitifligi, anlamli lokosit varligi ve idrar kulturunde ureme ile ureteral DJ stent kulturunde ureme arasindaki iliski degerlendirildi. Bulgular: Ortalama yasi 42[+ or -]68 yil olan 16 kadin ve 49 erkek toplam 65 hasta calismaya dahil edildi. Ureteral DJ stent kulturlerinin 12'sinde (%18) bakteri kolonizasyonu tespit edildi. Ureteral DJ stent kulturlerinde Enterokok faecalis (n=4), Escherichia coli (n=4), Corynebacterium urealyticum (n=2), kandida (n=1) ve metisilin rezistan staphylococcus aureus (n=1) uremesi raporlandi. Ureteral DJ stent kultur antibiyogramlarinda penisilin (n=4), ampisilin (n=4), tetrasiklin (n=3), imipenem (n=2), ve linezolid (n=1) duyarlilgi rapor edildi. Lokosit esteraz pozitifligi, nitrit pozitifligi, anlamli lokosituri ve idrar kulturunde ureme oranlari Ureteral DJ stent kulturunde ureme olan ve olmayan gruplar icin sirasiyla %58,5 vs. %50, %32 vs. %16,6, %49 vs. %50 ve %7,5 vs. %8,5 hesaplandi ve gruplar arasinda anlamli farklilik izlenmedi (p>0,05). Ureteral DJ stent cikarilmasindan sonra aktif enfeksiyon ile basvuru izlenmedi. Sonuc: Steril idrar kulturu ve idrar tahlili parametreleri ureteral DJ stent kultur sonuclarini ongormede yetersizdir. Bulgularimiza gore cikarilan ureteral DJ stentleri mikrobiyolojik inceleme yapmak klinik uygulamamiza katki saglamamaktadir. Ampisilin-tetrasiklin tedavisine postoperatif enfeksiyon bulgulari olan hastalarda ampirik olarak baslanmalidir Anahtar Kelimeler: Ureteral stent, Kolonizasyon, Idrar analizi, Stent kulturu</abstract><pub>Galenos Yayinevi Tic. Ltd</pub><doi>10.4274/jus.galenos.2019.3007</doi></addata></record> |
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source | Publicly Available Content Database; EZB Electronic Journals Library |
subjects | Analysis Beta lactamases Care and treatment Health aspects Imipenem Infection Medical research Methicillin Stents Tetracyclines Urinalysis |
title | Is Bacterial Colonization in Ureteral Double-J Stents Significant and Is It Predictable?/Ureteral Double J Stentlerde Bakteri Kolonizasyonu Anlamli midir ve Idrar Testleri ile Tahmin Edilebilir mi? |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T19%3A18%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Is%20Bacterial%20Colonization%20in%20Ureteral%20Double-J%20Stents%20Significant%20and%20Is%20It%20Predictable?/Ureteral%20Double%20J%20Stentlerde%20Bakteri%20Kolonizasyonu%20Anlamli%20midir%20ve%20Idrar%20Testleri%20ile%20Tahmin%20Edilebilir%20mi?&rft.jtitle=Journal%20of%20urological%20surgery&rft.au=Sahan,%20Ahmet&rft.date=2020-06-01&rft.volume=7&rft.issue=2&rft.spage=120&rft.pages=120-&rft.issn=2148-9580&rft.eissn=2148-9580&rft_id=info:doi/10.4274/jus.galenos.2019.3007&rft_dat=%3Cgale%3EA627513844%3C/gale%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-g674-8b5a8ba7e2a71b3f53d7ed56db960c575dc5ebd55532592b594f4f78b30ef87d3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/&rft_galeid=A627513844&rfr_iscdi=true |