Urinary Tract Infection on Double J-J Stent, about 92 Cases

Abstract

bjective: The study aimed to clarify the prevalence of urinary tract infection due to double J-J tube by describing its clinical, bacteriological, therapeutic, and evolutionary aspects in the urology department in Ibn Rochd University Hospital in Casablanca. Patients and methods: The study followed the descriptive method, from January 01, 2019, to December 31, 2019, examining the records of patients who have had a J-J catheter inserted as a type of upper urinary tract bypass and in the meanwhile, they get a urinary tract infection. Results: Ninety-two cases were included in our study. The average age of the patients was 48 years with ranges of 17 and 79 years. The sex ratio M/F was 1.3. Most Etiologies of the cases were dominated by urinary lithiasis by 47% of cases, followed by tumor caused cases with 37.27%. As for the main clinical signs, Lower back pain had taken the place as it was found in 31% of cases. The bacteriological isolation found Gram-Negative Bacillus as the main germ in 86% of cases with the predominance of Escherichia coli (E. coli) (44%). The main antibiotic prescribed was fluoroquinolones in 32% of cases. Conclusion: J-J tube insertion is an effective and minimally invasive technique of bypassing the upper urinary tract to preserve kidney function but it could cause complications including urinary tract infection hence the need to respect preventive measures.

Investigating Catheter-Related Infections in Southern Benin Hospitals: Identification, Susceptibility, and Resistance Genes of Involved Bacterial Strains

“…Additionally, 100% of E. aerogenes and 95.7% of E. coli strains were resistant to the combination of trimethoprim/sulfamethoxazole, which is consistent with the findings of Konaré [ 50 ]. All Citrobacter freundii strains were resistant to amoxicillin/clavulanic acid, cefalotin, cefoxitin, and nalidixic acid, similar to the results of Kbirou et al [ 51 ]. The non-enterobacteria strains were mostly multidrug-resistant, with the exception of P. aeruginosa strains that were only resistant to cefotaxime, consistent with the results of Bitsori et al [ 52 ].…”