Risk factors for lower urinary tract infection and bacterial stent colonization in patients with a double J ureteral stent
We investigated the potential risk factors for lower urinary tract infection and bacterial stent colonization in patients with double-J stents. A total of 195 double-J stents from 190 patients (95 men and 95 women, mean age 40.22 years) were examined. In all patients, prophylactic antimicrobial ther...
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| Veröffentlicht in: | International urology and nephrology 2007-03, Vol.39 (1), p.95-98 |
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| creator | Akay, Ali Ferruh Aflay, Uğur Gedik, Abdullah Sahin, Hayrettin Bircan, Mehmet Kamuran |
| description | We investigated the potential risk factors for lower urinary tract infection and bacterial stent colonization in patients with double-J stents.
A total of 195 double-J stents from 190 patients (95 men and 95 women, mean age 40.22 years) were examined. In all patients, prophylactic antimicrobial therapy was administered at the time of stenting. The stents and urine samples were removed aseptically and the proximal and distal tip segments of the stents were obtained. Three culture specimens were obtained from each stent segment and urine sample. Chi-square tests, odds ratio, and relative risk were used for the statistical analysis.
Bacterial colonies were found in 24% (47 of 190) of the urine samples, 31% (61 of 195) of the proximal stent segments, and 34% (67 of 195) of the distal stent segments. Of the pathogens identified, Escherichia coli (34 of 47) was the most common. Diabetes mellitus (P < 0.01), chronic renal failure (P < 0.001), and pregnancy (P < 0.01) were found to be risk factors for lower urinary tract infection in patients with stents. An increased stent colonization rate was associated with implantation time, age, and female sex, but these were not statistically significant for lower urinary tract infection
Diabetes mellitus, chronic renal failure, and pregnancy are associated with a higher risk of lower urinary tract infection. Therefore, patients in these categories should be monitored carefully for infectious complications. |
| doi_str_mv | 10.1007/s11255-006-9150-1 |
| format | Article |
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A total of 195 double-J stents from 190 patients (95 men and 95 women, mean age 40.22 years) were examined. In all patients, prophylactic antimicrobial therapy was administered at the time of stenting. The stents and urine samples were removed aseptically and the proximal and distal tip segments of the stents were obtained. Three culture specimens were obtained from each stent segment and urine sample. Chi-square tests, odds ratio, and relative risk were used for the statistical analysis.
Bacterial colonies were found in 24% (47 of 190) of the urine samples, 31% (61 of 195) of the proximal stent segments, and 34% (67 of 195) of the distal stent segments. Of the pathogens identified, Escherichia coli (34 of 47) was the most common. Diabetes mellitus (P < 0.01), chronic renal failure (P < 0.001), and pregnancy (P < 0.01) were found to be risk factors for lower urinary tract infection in patients with stents. An increased stent colonization rate was associated with implantation time, age, and female sex, but these were not statistically significant for lower urinary tract infection
Diabetes mellitus, chronic renal failure, and pregnancy are associated with a higher risk of lower urinary tract infection. Therefore, patients in these categories should be monitored carefully for infectious complications.</description><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-006-9150-1</identifier><identifier>PMID: 17171409</identifier><identifier>CODEN: IURNAE</identifier><language>eng</language><publisher>Netherlands: Springer Nature B.V</publisher><subject>Adult ; Bacteria ; Bacteria - growth & development ; Chronic infection ; Colonization ; Colony Count, Microbial ; Diabetes ; Diabetes mellitus ; Escherichia coli ; Female ; Humans ; Implantation ; Implants ; Male ; Pregnancy ; Renal failure ; Risk Factors ; Statistical analysis ; Stents ; Stents - microbiology ; Ureter - microbiology ; Ureteral stents ; Urinary tract ; Urinary tract diseases ; Urinary tract infections ; Urinary Tract Infections - pathology ; Urine ; Urine - microbiology ; Urogenital system</subject><ispartof>International urology and nephrology, 2007-03, Vol.39 (1), p.95-98</ispartof><rights>Springer Science+Business Media, Inc. 2007</rights><rights>Springer Science+Business Media, Inc. 2006.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c385t-4a07de900d025217b341545b6036652d53ba09c6f3a204f3c902901fa619caef3</citedby><cites>FETCH-LOGICAL-c385t-4a07de900d025217b341545b6036652d53ba09c6f3a204f3c902901fa619caef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17171409$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akay, Ali Ferruh</creatorcontrib><creatorcontrib>Aflay, Uğur</creatorcontrib><creatorcontrib>Gedik, Abdullah</creatorcontrib><creatorcontrib>Sahin, Hayrettin</creatorcontrib><creatorcontrib>Bircan, Mehmet Kamuran</creatorcontrib><title>Risk factors for lower urinary tract infection and bacterial stent colonization in patients with a double J ureteral stent</title><title>International urology and nephrology</title><addtitle>Int Urol Nephrol</addtitle><description>We investigated the potential risk factors for lower urinary tract infection and bacterial stent colonization in patients with double-J stents.
A total of 195 double-J stents from 190 patients (95 men and 95 women, mean age 40.22 years) were examined. In all patients, prophylactic antimicrobial therapy was administered at the time of stenting. The stents and urine samples were removed aseptically and the proximal and distal tip segments of the stents were obtained. Three culture specimens were obtained from each stent segment and urine sample. Chi-square tests, odds ratio, and relative risk were used for the statistical analysis.
Bacterial colonies were found in 24% (47 of 190) of the urine samples, 31% (61 of 195) of the proximal stent segments, and 34% (67 of 195) of the distal stent segments. Of the pathogens identified, Escherichia coli (34 of 47) was the most common. Diabetes mellitus (P < 0.01), chronic renal failure (P < 0.001), and pregnancy (P < 0.01) were found to be risk factors for lower urinary tract infection in patients with stents. An increased stent colonization rate was associated with implantation time, age, and female sex, but these were not statistically significant for lower urinary tract infection
Diabetes mellitus, chronic renal failure, and pregnancy are associated with a higher risk of lower urinary tract infection. Therefore, patients in these categories should be monitored carefully for infectious complications.</description><subject>Adult</subject><subject>Bacteria</subject><subject>Bacteria - growth & development</subject><subject>Chronic infection</subject><subject>Colonization</subject><subject>Colony Count, Microbial</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Escherichia coli</subject><subject>Female</subject><subject>Humans</subject><subject>Implantation</subject><subject>Implants</subject><subject>Male</subject><subject>Pregnancy</subject><subject>Renal failure</subject><subject>Risk Factors</subject><subject>Statistical analysis</subject><subject>Stents</subject><subject>Stents - microbiology</subject><subject>Ureter - microbiology</subject><subject>Ureteral stents</subject><subject>Urinary tract</subject><subject>Urinary tract diseases</subject><subject>Urinary tract infections</subject><subject>Urinary Tract Infections - pathology</subject><subject>Urine</subject><subject>Urine - microbiology</subject><subject>Urogenital system</subject><issn>0301-1623</issn><issn>1573-2584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkV1rFDEYhUNR2u3HD_BGgkLvRt83X7O5lGKrUhBEr0Mmk9DU2WRNZij215vtrgiCSC4S3jzncJJDyAuENwjQv62ITMoOQHUaJXR4RFYoe94xuRbPyAo4YIeK8RNyWus9AOg1wDE5wb4tAXpFHr_E-p0G6-ZcKg250Ck_-EKXEpMtP-lc2hWNKXg3x5yoTSMd2siXaCdaZ59m6vKUU3y0T0BMdNtObV7pQ5zvqKVjXobJ00_N1Dfhb905eR7sVP3FYT8j367ff7360N1-vvl49e62c3wt505Y6EevAUZgkmE_cIFSyEEBV0qyUfLBgnYqcMtABO40MA0YrELtrA_8jFzufbcl_1h8nc0mVuenySafl2p6EIoJjf8FGSjkGkUDX_8F3uelpPYIw1omARI0NOrVPyls4QQw1SDcQ67kWosPZlvipv28QTC7ks2-ZNNKNruSzS7ny4PxMmz8-EdxaJX_ApBLoVI</recordid><startdate>20070301</startdate><enddate>20070301</enddate><creator>Akay, Ali Ferruh</creator><creator>Aflay, Uğur</creator><creator>Gedik, Abdullah</creator><creator>Sahin, Hayrettin</creator><creator>Bircan, Mehmet Kamuran</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7QL</scope><scope>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20070301</creationdate><title>Risk factors for lower urinary tract infection and bacterial stent colonization in patients with a double J ureteral stent</title><author>Akay, Ali Ferruh ; Aflay, Uğur ; Gedik, Abdullah ; Sahin, Hayrettin ; Bircan, Mehmet Kamuran</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c385t-4a07de900d025217b341545b6036652d53ba09c6f3a204f3c902901fa619caef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Bacteria</topic><topic>Bacteria - growth & development</topic><topic>Chronic infection</topic><topic>Colonization</topic><topic>Colony Count, Microbial</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Escherichia coli</topic><topic>Female</topic><topic>Humans</topic><topic>Implantation</topic><topic>Implants</topic><topic>Male</topic><topic>Pregnancy</topic><topic>Renal failure</topic><topic>Risk Factors</topic><topic>Statistical analysis</topic><topic>Stents</topic><topic>Stents - microbiology</topic><topic>Ureter - microbiology</topic><topic>Ureteral stents</topic><topic>Urinary tract</topic><topic>Urinary tract diseases</topic><topic>Urinary tract infections</topic><topic>Urinary Tract Infections - pathology</topic><topic>Urine</topic><topic>Urine - microbiology</topic><topic>Urogenital system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akay, Ali Ferruh</creatorcontrib><creatorcontrib>Aflay, Uğur</creatorcontrib><creatorcontrib>Gedik, Abdullah</creatorcontrib><creatorcontrib>Sahin, Hayrettin</creatorcontrib><creatorcontrib>Bircan, Mehmet Kamuran</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International urology and nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akay, Ali Ferruh</au><au>Aflay, Uğur</au><au>Gedik, Abdullah</au><au>Sahin, Hayrettin</au><au>Bircan, Mehmet Kamuran</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for lower urinary tract infection and bacterial stent colonization in patients with a double J ureteral stent</atitle><jtitle>International urology and nephrology</jtitle><addtitle>Int Urol Nephrol</addtitle><date>2007-03-01</date><risdate>2007</risdate><volume>39</volume><issue>1</issue><spage>95</spage><epage>98</epage><pages>95-98</pages><issn>0301-1623</issn><eissn>1573-2584</eissn><coden>IURNAE</coden><abstract>We investigated the potential risk factors for lower urinary tract infection and bacterial stent colonization in patients with double-J stents.
A total of 195 double-J stents from 190 patients (95 men and 95 women, mean age 40.22 years) were examined. In all patients, prophylactic antimicrobial therapy was administered at the time of stenting. The stents and urine samples were removed aseptically and the proximal and distal tip segments of the stents were obtained. Three culture specimens were obtained from each stent segment and urine sample. Chi-square tests, odds ratio, and relative risk were used for the statistical analysis.
Bacterial colonies were found in 24% (47 of 190) of the urine samples, 31% (61 of 195) of the proximal stent segments, and 34% (67 of 195) of the distal stent segments. Of the pathogens identified, Escherichia coli (34 of 47) was the most common. Diabetes mellitus (P < 0.01), chronic renal failure (P < 0.001), and pregnancy (P < 0.01) were found to be risk factors for lower urinary tract infection in patients with stents. An increased stent colonization rate was associated with implantation time, age, and female sex, but these were not statistically significant for lower urinary tract infection
Diabetes mellitus, chronic renal failure, and pregnancy are associated with a higher risk of lower urinary tract infection. Therefore, patients in these categories should be monitored carefully for infectious complications.</abstract><cop>Netherlands</cop><pub>Springer Nature B.V</pub><pmid>17171409</pmid><doi>10.1007/s11255-006-9150-1</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Bacteria Bacteria - growth & development Chronic infection Colonization Colony Count, Microbial Diabetes Diabetes mellitus Escherichia coli Female Humans Implantation Implants Male Pregnancy Renal failure Risk Factors Statistical analysis Stents Stents - microbiology Ureter - microbiology Ureteral stents Urinary tract Urinary tract diseases Urinary tract infections Urinary Tract Infections - pathology Urine Urine - microbiology Urogenital system |
| title | Risk factors for lower urinary tract infection and bacterial stent colonization in patients with a double J ureteral stent |
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