Microbiological Analysis of Urine Cultures in Women after Pelvic Reconstructive Surgery

Abstract

Background/Aims: The rate of urinary tract infection (UTI) after pelvic reconstructive surgery ranges from 9 to 48% and the most common uropathogen is Escherichia coli (E. coli). The aim of the study is to identify the predominant uro-pathogen from urine cultures in women undergoing pelvic reconstructive surgery. Methods: A retrospective review was conducted on women who underwent pelvic reconstructive surgery at a tertiary care center from July 2013 to June 2015. Data was collected from each postoperative visit to evaluate urinary tract symptoms, culture results and treatment in the 3-month postoperative interval. Results: There were 880 cases reviewed (mean age of 59.6 years) during the study period. The most common organism in positive cultures was E. coli after surgery. The total UTI rate was 11.3%. Patients discharged with a Foley catheter had a UTI rate of 65.6% (p = 0.003). Diabetes, neurologic disease, tobacco use, recurrent UTIs and breast or gynecologic cancers had no significant association with UTI after surgery. Conclusion: The most common organism identified is E. coli. Almost 12% of patients will develop a UTI after pelvic reconstructive surgery. The results of this study can influence management of lower urinary tract symptoms in the postoperative period.

Uropathogenic bacterial profile and antibiotic susceptibility pattern of isolates among gynecological cases admitted to Jimma Medical Center, South West Ethiopia

“…In this study, the overall prevalence of significant bacteriuria among admitted gynecological cases was found to be 25.4%, which was in agreement with the findings of the previous studies conducted in India 24% 21 , Nigeria, 26.2% 22 and USA 22.4% 23 . However, our finding was higher than other studies reported from Norway, 16.3% 24 and USA, 11.3% 25 . But, our finding was lower than the reports from Ethiopia, 58.1% 26 and Nigeria, 76.1% 27 .…”

Uropathogenic bacterial profile and antibiotic susceptibility pattern of isolates among gynecological cases admitted to Jimma Medical center, South West Ethiopia

“…In this study, the overall prevalence of signi cant bacteriuria among admitted gynecological cases was found to be 25.4%, which was in agreement with the ndings of the previous studies conducted in India 24% [20], Nigeria, 26.2% [21] and USA 22.4% [22]. However, our nding was higher than other studies reported from Norway, 16.3% [23] and USA, 11.3% [24]. But, our nding was lower than the reports from Ethiopia, 58.1% [25] and Nigeria, 76.1% [26].…”

Reducing urinary tract infection in female pelvic surgery: A retrospective cohort study

“…Our UTI rate of 6.5% falls below the lower end of the reported range of 7% to 34% in previously published studies 6–14 . It is also lower than the 19% rate reported in the cranberry intervention arm seen in the study by Foxman et al, 17 most likely due to our use of several bundle strategies in combination.…”

“…For example, preoperative UTI is a strong predictor for postoperative UTI in patients undergoing stress urinary incontinence surgery 7 . Postoperative urethral catheterization is also a proven UTI risk factor in the context of surgery for other pelvic floor disorders such as pelvic organ prolapse 8,10,12,14 . In a previous study, our culture‐proven postoperative UTI rate was 17.6% among inpatients within 6 weeks of pelvic surgery 15 .…”

“…Surgery for pelvic floor disorders is also common, with an estimated lifetime risk of 19% to 20% by the age of 80 years 4,5 . UTIs are often associated with pelvic floor disorders, and pelvic reconstructive surgery carries a wide perioperative UTI incidence range of 7% to 34% 6–14 …”