{"title":"双j输尿管支架及经皮肾造瘘管留置后细菌定植及尿路感染的特点。","authors":"Mitra Kar, Akanksha Dubey, Sangram Singh Patel, Tasneem Siddiqui, Ujjala Ghoshal, Chinmoy Sahu","doi":"10.4103/jgid.jgid_276_21","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Infections associated with catheter in the upper urinary tract (CUUT), which include the double-J stent and the percutaneous nephrostomy (PCN) tube, get particularly infected in patients with specific risk factors for developing an infection.</p><p><strong>Methods: </strong>A retrospective observational study was carried out by compiling data from the hospital information system of a tertiary care center from 2019 to 2021 to evaluate infections in patients with catheter in the upper urinary tract.</p><p><strong>Result: </strong>A total of 200 pus samples of double-J stent (96 pus samples) and PCN tube (104 pus samples) were included in our study. Among patients with nephrostomy tube, the most frequently isolated microorganisms were <i>Escherichia coli</i>, followed by <i>Pseudomonas</i> spp. In those with a double-J stent, <i>Pseudomonas aeruginosa</i>, followed by <i>E. coli</i> were the most commonly isolated microorganisms. We found 55.72% of cases of <i>Enterobacteriaceae</i>-producing carbapenemases in patients with a percutaneous catheter. 66.07% of <i>Enterobacteriaceae</i> in patients with double-J and nephrostomy stents are extended-spectrum beta-lactamase-producing bacteria. The percentage of cultures with multiple-drug resistance (MDR) microorganisms was 38.54% in patients with double-J stents and 37.75% in nephrostomy tubes. The presence of prior urinary tract infection (<i>P</i> = 0.010), presence of urinary catheter before admission (<i>P</i> = 0.005), increased time with single urinary catheter <i>in-situ</i> (<i>P</i> < 0.001), and increased length of hospital stay (<i>P</i> = 0.036) were risk factors for isolation of MDR microorganisms.</p><p><strong>Conclusion: </strong><i>Pseudomonas</i> spp. and <i>Pseudomonas aeruginosa</i> are commonly infecting both the CUUT. <i>E. coli</i> infections are more commonly infecting the nephrostomy tubes. MDR microorganisms are frequent, mainly in patients with prior urinary tract infection, presence of urinary catheter before admission, and prolonged use of a single catheter.</p>","PeriodicalId":51581,"journal":{"name":"Journal of Global Infectious Diseases","volume":"14 2","pages":"75-80"},"PeriodicalIF":1.0000,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/1d/JGID-14-75.PMC9336602.pdf","citationCount":"2","resultStr":"{\"title\":\"Characteristics of Bacterial Colonization and Urinary Tract Infection after Indwelling of Double-J ureteral Stent and Percutaneous Nephrostomy Tube.\",\"authors\":\"Mitra Kar, Akanksha Dubey, Sangram Singh Patel, Tasneem Siddiqui, Ujjala Ghoshal, Chinmoy Sahu\",\"doi\":\"10.4103/jgid.jgid_276_21\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Infections associated with catheter in the upper urinary tract (CUUT), which include the double-J stent and the percutaneous nephrostomy (PCN) tube, get particularly infected in patients with specific risk factors for developing an infection.</p><p><strong>Methods: </strong>A retrospective observational study was carried out by compiling data from the hospital information system of a tertiary care center from 2019 to 2021 to evaluate infections in patients with catheter in the upper urinary tract.</p><p><strong>Result: </strong>A total of 200 pus samples of double-J stent (96 pus samples) and PCN tube (104 pus samples) were included in our study. Among patients with nephrostomy tube, the most frequently isolated microorganisms were <i>Escherichia coli</i>, followed by <i>Pseudomonas</i> spp. In those with a double-J stent, <i>Pseudomonas aeruginosa</i>, followed by <i>E. coli</i> were the most commonly isolated microorganisms. We found 55.72% of cases of <i>Enterobacteriaceae</i>-producing carbapenemases in patients with a percutaneous catheter. 66.07% of <i>Enterobacteriaceae</i> in patients with double-J and nephrostomy stents are extended-spectrum beta-lactamase-producing bacteria. The percentage of cultures with multiple-drug resistance (MDR) microorganisms was 38.54% in patients with double-J stents and 37.75% in nephrostomy tubes. The presence of prior urinary tract infection (<i>P</i> = 0.010), presence of urinary catheter before admission (<i>P</i> = 0.005), increased time with single urinary catheter <i>in-situ</i> (<i>P</i> < 0.001), and increased length of hospital stay (<i>P</i> = 0.036) were risk factors for isolation of MDR microorganisms.</p><p><strong>Conclusion: </strong><i>Pseudomonas</i> spp. and <i>Pseudomonas aeruginosa</i> are commonly infecting both the CUUT. <i>E. coli</i> infections are more commonly infecting the nephrostomy tubes. MDR microorganisms are frequent, mainly in patients with prior urinary tract infection, presence of urinary catheter before admission, and prolonged use of a single catheter.</p>\",\"PeriodicalId\":51581,\"journal\":{\"name\":\"Journal of Global Infectious Diseases\",\"volume\":\"14 2\",\"pages\":\"75-80\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2022-06-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/1d/JGID-14-75.PMC9336602.pdf\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Global Infectious Diseases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jgid.jgid_276_21\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/4/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Global Infectious Diseases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jgid.jgid_276_21","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/4/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
Characteristics of Bacterial Colonization and Urinary Tract Infection after Indwelling of Double-J ureteral Stent and Percutaneous Nephrostomy Tube.
Introduction: Infections associated with catheter in the upper urinary tract (CUUT), which include the double-J stent and the percutaneous nephrostomy (PCN) tube, get particularly infected in patients with specific risk factors for developing an infection.
Methods: A retrospective observational study was carried out by compiling data from the hospital information system of a tertiary care center from 2019 to 2021 to evaluate infections in patients with catheter in the upper urinary tract.
Result: A total of 200 pus samples of double-J stent (96 pus samples) and PCN tube (104 pus samples) were included in our study. Among patients with nephrostomy tube, the most frequently isolated microorganisms were Escherichia coli, followed by Pseudomonas spp. In those with a double-J stent, Pseudomonas aeruginosa, followed by E. coli were the most commonly isolated microorganisms. We found 55.72% of cases of Enterobacteriaceae-producing carbapenemases in patients with a percutaneous catheter. 66.07% of Enterobacteriaceae in patients with double-J and nephrostomy stents are extended-spectrum beta-lactamase-producing bacteria. The percentage of cultures with multiple-drug resistance (MDR) microorganisms was 38.54% in patients with double-J stents and 37.75% in nephrostomy tubes. The presence of prior urinary tract infection (P = 0.010), presence of urinary catheter before admission (P = 0.005), increased time with single urinary catheter in-situ (P < 0.001), and increased length of hospital stay (P = 0.036) were risk factors for isolation of MDR microorganisms.
Conclusion: Pseudomonas spp. and Pseudomonas aeruginosa are commonly infecting both the CUUT. E. coli infections are more commonly infecting the nephrostomy tubes. MDR microorganisms are frequent, mainly in patients with prior urinary tract infection, presence of urinary catheter before admission, and prolonged use of a single catheter.
期刊介绍：
JGID encourages research, education and dissemination of knowledge in the field of Infectious Diseases across the world thus promoting translational research by striking a synergy between basic science, clinical medicine and public health. The Journal intends to bring together scientists and academicians in Infectious Diseases to promote translational synergy between Laboratory Science, Clinical Medicine and Public Health. The Journal invites Original Articles, Clinical Investigations, Epidemiological Analysis, Data Protocols, Case Reports, Clinical Photographs, review articles and special commentaries. Students, Residents, Academicians, Public Health experts and scientists are all encouraged to be a part of this initiative by contributing, reviewing and promoting scientific works and science.
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