Abstract
Aim: Stents and catheters are widely used in urology. In our studey the frequency of double J stent (DJS) colonization and stent associated bacteriuria is investigated.Materials and methods: Between June 2000–April 2001, 61 patients (17–72 years old) to whom DJ stenting was done (5 of them bilateral) were included in this study. Stone extraction/lithotripsy, extracorporeal shockwave lithotripsy (ESWL), open urolithiazis surgery and hydronephrosis were the indications. Sterile urine samples were obtained prior to stenting. Patients were clinically followed and after the treatment DJ stents were removed after having urinary cultures via the cystoscope. DJS cultures were also made. Results: DJS indwelling times were between 15–90 days (52.5 ± 8.6). In 3 female, 8 male totally 11 patients bacterial colonizations were observed. In 10 of them both stent and urinary cultures were positive, and showed identical microorganisms; 80% E. Coli, 10% E. Coli+ Candida, 10% Klebsiella.Conclusions: Our infection rate of DJS and urine is 18% which is not very high. Routine DJS cultures are not needed as the same microorganisms grow in urine cultures. No age or sex relation to the infections is found. Antibiotic prophylaxis is effective in preventing clinically ouvert infectious diseases.
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References
Coghlan A. Slime city. New Scient 1996; 2045: 32–36.
Costertan JW, Stewart SP, Greenberg EP. Bacterial biofilms. A common cause of persistent infections. Science 1999; 284: 1318–1322.
Gristina AG, Hobdood CD, Webb LX et al. Adhesive colonization of biomaterials and antibiotic resistance. Biomaterials 1987: 423–426
Hamilton-Miller JMT. Issues in urinary tract infections in elderly. World J Urol 1999; 17: 396–401.
Holmes SAV, Cheng C, Whitfield HN. The development of synthetic polymers that resist encrustation on exposure to urine. Br J Urol 1992; 69: 651.
Kalpana G, Walter ES. Pathogenesis and management of recurrent urinary tract infections in women. World J Urol 1999; 17: 415–420.
Koçak İ, Dündar M, Altay B. Double J ureteral stentlerin enfeksiyon potansiyelleri: Prospektif, çok merkezli bir çalışma. Türk Ñroloji Dergisi 2000; 26(4): 457–461.
Lifshitz D, Winkler HZ, Gross M et al. Bacteriuria and colonization of ureteral stents. J Endourol 1991; 11 (Suppl 1): 88.
Lumiaho J, Heino A, Pietilainen T et al. The morphological in situ effects of a self-reinforced bioabsorbable polylactide (SR–PLA 96) ureteric stent; on experimental study. J Urol 2000; 164, 1360–1363.
Reid G, Tieszer C, Foerch R et al. Adsorbsion of ciprofloxacin to urinary catheters and effect on subsequent bacterial adhesion and survival. Coll. Surf. B. Biointerfaces 1993; 1: 9–14.
Riedel CR, Plas E, Hübner WA. Bacterial colonization of uretaral stents. Eur Urol 1999; 36: 53–59.
Salmond GP, Bycnoft BW, Stewart GS et al. The bacterial ‘enigma’: Cracking the code of cell-communication. Mol microbial 1995; 16: 615–625.
Stickler D, Ganderton L, King J et al. Proteus minabilis biofilms and the encrustation of urethral catheters. Urol Res 1993; 21: 407–412.
Tieszer C, Reid G, Denstedt J. Conditioning film deposition on ureteral stents after implantation. J Urol 1998; 160: 876–881.
Werner WH, Wade B. Urinary tract infection: A moving target. World J Urol 1999; 17: 364–371.
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Yeniyol, C.Ö., Tuna, A., Yener, H. et al. Bacterial colonization of double J stents and bacteriuria frequency. Int Urol Nephrol 34, 199–202 (2002). https://doi.org/10.1023/A:1023285422278
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DOI: https://doi.org/10.1023/A:1023285422278