Urinary Tract Infection and Predisposing Factors in Patients with Ureteral Stents
Journal Title: The New Journal of Urology / Yeni Üroloji Dergisi - Year 2020, Vol 15, Issue 1
Abstract
Objective: We aimed to demonstrate the relationship between urine analysis/culture and significant urinary tract infection in patients with Double-J stent (DJS) and thus prevent unnecessary antibiotic use and overtreatment. Material and Methods: The data of patients who underwent DJS insertion between 2016 and 2019 were investigated retrospectively. Patients who presented with lower urinary tract symptoms after DJS insertion were included in the study. Results: A total of 152 patients were included in the study. The mean age of the patients was 48.9±14.9 years. Indications for DJS insertion were as follow: endoscopic ureter and kidney stone treatment in 108 (71.1%) patients, percutaneous nephrolithotomy in 20 (13.2%) patients and renal transplantation in 6 (3.9%) patients. The urine analysis of the patients revealed nitrite (+) in 8 patients and leukocyte esterase (+) in 117 patients (77%). In 20 patients (13.2%), various microorganism growths were observed in urine culture. 75% of patients with nitrite were positive in urine culture. No significant difference was found between urine cultures of patients with and without comorbidity (p = 0.132). In multivariate regression analysis, age, gender, catheter stay duration, and indications for insertion of DJS were not found to predict urinary tract infection (p> 0.05 for all variables). Conclusion: In symptomatic patients with DJS, nitrite positivity predicts urinary tract infection at a high rate and necessitate urine culture followed by appropriate antibiotic treatment.
Authors and Affiliations
Guner,E. , Huseynov,C. , Sam,E. , Arikan, Y. , Akkas, F. , Tasci, A. I.
Keywords
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- EP ID EP679994
- DOI https://doi.org/10.33719/yud.563577
- Views 280
- Downloads 0
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