Microbial spectrum of urine before and after transurethral procedures on the prostate in patients with postoperative urinary tract infections
- Авторлар: Kogan M.I.1, Medvedev V.L.2,3, Naboka Y.L.1, Ivanov S.N.1, Palaguta G.A.2,3, Arkhipenko M.V.3
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Мекемелер:
- FGBOU VO Rostov State Medical University of the Ministry of Health of the Russian Federation
- FGBOU VO Kuban State Medical University of the Ministry of Health of the Russian Federation
- Scientific and Research Institute of the Regional Clinical Hospital №1 named after prof. S.V. Ochapovsky
- Шығарылым: № 2 (2024)
- Беттер: 5-10
- Бөлім: Original Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/633477
- DOI: https://doi.org/10.18565/urology.2024.2.5-10
- ID: 633477
Дәйексөз келтіру
Ашық рұқсат
Рұқсат берілді
Аннотация
Aim. To evaluate the microbial spectrum of urine before and after transurethral resection of prostate (TURP) in patients with postoperative infectious complications.
Materials and methods. A single-center retrospective observational study between 2016 and 2023 was carried out. Patients who developed urinary tract infections (UTIs) after mono- or bipolar TURP during the hospitalization were included. Bacteriological examination of urine obtained before procedure and after the manifestation of UTI was done in accordance with the Guidelines. In the presence of suprapubic or urethral catheter, the drainage was previously replaced with further microbiological study. The level of significant bacteriuria was ≥ 103 CFU/ml, with a level of significant leukocyturia ≥ 10 per field of view. Statistical analysis was carried out using IBM SPSS Statistics 23.0.
Results. Bacteriuria was not detected in 77.9% of cases of UTIs after TURP. At the same time, according to the preoperative examination in 76.2% of these patients, there was no bacteriuria ≥ 103 CFU/ml. In 17 of 122 men (13.9%) without bacteriuria at baseline, microorganisms were isolated after the development of UTIs. A decrease in bacteriuria level was noted in only 19 of 29 patients (65.5%) who had a positive urine culture before TURP. Only in 4 out of 10 cases of persistent bacteriuria the same microorganism was isolated, while in the remaining 6 cases the initial spectrum was replaced by another bacteria.
Conclusion. Our data indicate a low detection rate of microorganisms in urine of patients with UTIs after TURP using a standard bacteriological study. The data indicate that the standard antibiotic prophylaxis regimen and ongoing anti-infective measures are partly effective in reducing a narrow range of aerobic microorganisms detected preoperatively using standard media, which, however, does not exclude the development of an infectious process.
Толық мәтін
Авторлар туралы
M. Kogan
FGBOU VO Rostov State Medical University of the Ministry of Health of the Russian Federation
Email: kogan_dept@mail.ru
ORCID iD: 0000-0002-1710-0169
Honored Scientist of Russian Federation, Ph.D., MD, professor, Head of the Department of Urology and Human Reproductive Health with the course of pediatric urology and andrology
Ресей, Rostov-on-DonV. Medvedev
FGBOU VO Kuban State Medical University of the Ministry of Health of the Russian Federation; Scientific and Research Institute of the Regional Clinical Hospital №1 named after prof. S.V. Ochapovsky
Email: medvedev_vl@mail.ru
ORCID iD: 0000-0001-8335-2578
Honored Scientist of Russian Federation, Ph.D., MD, professor, Deputy Chief on Urology of GBUZ Scientific and Research Institute of Regional Clinical Hospital №1 named after prof. S.V. Ochapovsky, Chief Urologist of the Ministry of Health of Kuban Region, Head of the Uronephrologic Center of Regional Clinical Hospital №1 named after prof. S.V. Ochapovsky
Ресей, Krasnodar; KrasnodarYu. Naboka
FGBOU VO Rostov State Medical University of the Ministry of Health of the Russian Federation
Email: nula33@mail.ru
ORCID iD: 0000-0002-0937-4573
Ph.D., MD, professor, Head of the Department of Microbiology and Virology No.1
Ресей, Rostov-on-DonS. Ivanov
FGBOU VO Rostov State Medical University of the Ministry of Health of the Russian Federation
Хат алмасуға жауапты Автор.
Email: ivanovsergey19@gmail.com
ORCID iD: 0000-0002-9772-937X
Ph.D. student
Ресей, Rostov-on-DonG. Palaguta
FGBOU VO Kuban State Medical University of the Ministry of Health of the Russian Federation; Scientific and Research Institute of the Regional Clinical Hospital №1 named after prof. S.V. Ochapovsky
Email: palaguta83@gmail.com
ORCID iD: 0000-0002-3462-8766
assistant at the Department of Urology, Kuban State Medical University; urologist at the Urologic Department No 1, Scientific and Research Institute of the Regional Clinical Hospital №1 named after prof. S.V. Ochapovsky
Ресей, Krasnodar; KrasnodarM. Arkhipenko
Scientific and Research Institute of the Regional Clinical Hospital №1 named after prof. S.V. Ochapovsky
Email: arxipenko.m@mail.ru
ORCID iD: 0009-0005-0859-0804
Head of the bacteriological laboratory
Ресей, KrasnodarӘдебиет тізімі
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