[57] Bacteriological analysis of urinary stones: correlation with preoperative cytobacteriological examination of urine

Objective: To analyse the bacteriological correlation between preoperative cytobacteriological examination of urine (CBEU) and urinary calculi, and to evaluate the impact of chemical nature on the bacteriological stones. Methods: This was a prospective single-centre study including 42 patients who u...

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Autores principales: Amine Saouli, Tarik Karmouni, Khalid Elkhader, Abdellatif Koutani, Ahmed Ibn Attya Andalousi
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Lenguaje:EN
Publicado: Taylor & Francis Group 2018
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spelling oai:doaj.org-article:97a2f46f832b49dca301a9c15cc922922021-12-02T10:50:52Z[57] Bacteriological analysis of urinary stones: correlation with preoperative cytobacteriological examination of urine2090-598X10.1016/j.aju.2018.10.010https://doaj.org/article/97a2f46f832b49dca301a9c15cc922922018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301049https://doaj.org/toc/2090-598XObjective: To analyse the bacteriological correlation between preoperative cytobacteriological examination of urine (CBEU) and urinary calculi, and to evaluate the impact of chemical nature on the bacteriological stones. Methods: This was a prospective single-centre study including 42 patients who underwent urolithiasis surgery between January and April 2018. Bacteriological culture of the removed stones was systematic. Mean comparisons were made by the Pearson chi-square test and Fisher’s test for qualitative variables, with statistical significance set at P < 0.05. Results: The average age of our series was 56 years, with a male predominance of 83.3%. Bladder opening was performed in 45.2% of our patients. The rate of urinary colonisation was 33.3% (14/42). The rate of infected stones was 35.7%. Of the identified pathogens, Escherichia coli was found in 40% of the infected stones, followed by Enterococcus faecalis (20%), and Staphylococcus coagulase negative and Pseudomonas aeruginosa (13.3%). There was a significant correlation (P < 0.001) between preoperative CBEU and bacteriological analysis of the stones. The infected stones were principally calcium oxalate monohydrate and struvite (P = 0.03, P = 0.01). Conclusion: There is a significant correlation between the bacteriological culture of urinary stones and preoperative CBEU results. A negative preoperative CBEU can guarantee the sterility of urinary calculi in 89.2% for avoiding postoperative infectious complications after surgical manipulation of these stones.Amine SaouliTarik KarmouniKhalid ElkhaderAbdellatif KoutaniAhmed Ibn Attya AndalousiTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S28- (2018)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the genitourinary system. Urology
RC870-923
spellingShingle Diseases of the genitourinary system. Urology
RC870-923
Amine Saouli
Tarik Karmouni
Khalid Elkhader
Abdellatif Koutani
Ahmed Ibn Attya Andalousi
[57] Bacteriological analysis of urinary stones: correlation with preoperative cytobacteriological examination of urine
description Objective: To analyse the bacteriological correlation between preoperative cytobacteriological examination of urine (CBEU) and urinary calculi, and to evaluate the impact of chemical nature on the bacteriological stones. Methods: This was a prospective single-centre study including 42 patients who underwent urolithiasis surgery between January and April 2018. Bacteriological culture of the removed stones was systematic. Mean comparisons were made by the Pearson chi-square test and Fisher’s test for qualitative variables, with statistical significance set at P < 0.05. Results: The average age of our series was 56 years, with a male predominance of 83.3%. Bladder opening was performed in 45.2% of our patients. The rate of urinary colonisation was 33.3% (14/42). The rate of infected stones was 35.7%. Of the identified pathogens, Escherichia coli was found in 40% of the infected stones, followed by Enterococcus faecalis (20%), and Staphylococcus coagulase negative and Pseudomonas aeruginosa (13.3%). There was a significant correlation (P < 0.001) between preoperative CBEU and bacteriological analysis of the stones. The infected stones were principally calcium oxalate monohydrate and struvite (P = 0.03, P = 0.01). Conclusion: There is a significant correlation between the bacteriological culture of urinary stones and preoperative CBEU results. A negative preoperative CBEU can guarantee the sterility of urinary calculi in 89.2% for avoiding postoperative infectious complications after surgical manipulation of these stones.
format article
author Amine Saouli
Tarik Karmouni
Khalid Elkhader
Abdellatif Koutani
Ahmed Ibn Attya Andalousi
author_facet Amine Saouli
Tarik Karmouni
Khalid Elkhader
Abdellatif Koutani
Ahmed Ibn Attya Andalousi
author_sort Amine Saouli
title [57] Bacteriological analysis of urinary stones: correlation with preoperative cytobacteriological examination of urine
title_short [57] Bacteriological analysis of urinary stones: correlation with preoperative cytobacteriological examination of urine
title_full [57] Bacteriological analysis of urinary stones: correlation with preoperative cytobacteriological examination of urine
title_fullStr [57] Bacteriological analysis of urinary stones: correlation with preoperative cytobacteriological examination of urine
title_full_unstemmed [57] Bacteriological analysis of urinary stones: correlation with preoperative cytobacteriological examination of urine
title_sort [57] bacteriological analysis of urinary stones: correlation with preoperative cytobacteriological examination of urine
publisher Taylor & Francis Group
publishDate 2018
url https://doaj.org/article/97a2f46f832b49dca301a9c15cc92292
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AT tarikkarmouni 57bacteriologicalanalysisofurinarystonescorrelationwithpreoperativecytobacteriologicalexaminationofurine
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AT abdellatifkoutani 57bacteriologicalanalysisofurinarystonescorrelationwithpreoperativecytobacteriologicalexaminationofurine
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