OBSERVATION OF DOUBLE J STENT BACTERIAL COLONISATION AND ITS CORRELATION WITH BACTERIURIA FREQUENCY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 84
Abstract
BACKGROUND Stents and catheters are widely used in Urology. In this study, we identified the incidence of DJ stent bacterial colonisation and its correlation with bacteriuria frequency. MATERIALS AND METHODS Between January 2015 and June 2016, 170 patients (17 to 72 years old) who underwent DJ stenting were enrolled in the study. Surgeries prior to stenting included PCNL, URS, Pyeloplasty, Pyelolithotomy and Ureterolithotomy. Prior to stenting, sterile urine samples were obtained, and urinary cultures were performed upon removal of the DJ stents along with stent culture. Eighty-three stents were inserted into the right ureter and eighty-seven into the left ureter of the patients. RESULTS Cultures showed bacterial colonisation in 27 (16%) cases. There was no significant association between positive stent culture and patient age, sex or stent laterality. The rate of colonisation was 2.2%, 2.9%, and 25% when indwelling time was less than 4 weeks, 4-6 weeks, and more than 6 weeks, respectively. In the present study, the rate of infection associated with a DJ stent and urinary infection was not very high. However, bacterial colonisation increases significantly with indwelling time of the stent and sterile culture of urine does not rule out colonisation of the stent. CONCLUSION Bacteriological investigation showed very low rates of colonisation within 6 weeks after the insertion of stents, indicating that ureteral stents can be used safely within that time period. Bacterial colonisation is associated with increased chances of bacteriuria frequency.
Authors and Affiliations
Anshul Garg, Kumar Gaurav Mishra, Pawan Kumar Bharti, Kanika Goel, Urvashi Mishra
Keywords
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- EP ID EP276810
- DOI 10.14260/jemds/2017/1273
- Views 73
- Downloads 0
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