[22] Urinary colonisation in patients with JJ catheters

Objective: To evaluate the prevalence of urinary colonisation in patients with JJ catheters and to define the risk factors associated with these colonisations, as urinary colonisation in patients with JJ catheters plays a key role in the physiopathology of urinary tract infections. Methods: This was...

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Autores principales:	Amine Saouli, Abdelouhed Lasri, Tarik Karmouni, Khalid Elkhader, Abdellatif Koutani, Ahmed Ibn Attya Andalousi
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/b9c9332df9cd4e028f68414ef8d9ab18
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spelling	oai:doaj.org-article:b9c9332df9cd4e028f68414ef8d9ab182021-12-02T08:15:16Z[22] Urinary colonisation in patients with JJ catheters2090-598X10.1016/j.aju.2018.10.069https://doaj.org/article/b9c9332df9cd4e028f68414ef8d9ab182018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301633https://doaj.org/toc/2090-598XObjective: To evaluate the prevalence of urinary colonisation in patients with JJ catheters and to define the risk factors associated with these colonisations, as urinary colonisation in patients with JJ catheters plays a key role in the physiopathology of urinary tract infections. Methods: This was a monocentric prospective study between January 2013 and April 2017. In all, 145 JJ ureteric catheters in 120 patients, 25 of which had bilateral probes, were examined. The bacteriological profile of the urine of our patients was followed by the completion of an initial cytobacteriological examination of urine and another at the time of removal of the JJ catheter. The comparison of the means was performed using the Student’s test and the Mann–Whitney test for continuous variables and by the chi-square test and Fisher’s test for qualitative variables. The threshold for statistical significance was set at P < 0.05. Results: The rate of colonised JJ probes was 35.8% (43/145). The urinary colonisation rate was 31.7%. The rate of urinary colonisation in patients with colonised probes was 71.1%, compared to 9.1% for non-colonised probes. Of the identified pathogens, Escherichia coli was found in 38.1% of the colonised probes; Klebsiella pneumoniae was second (19.1%), followed by Enterococcus faecalis (16.6%). The same bacteria isolated in the JJ probes were found in the urine. Diabetes mellitus (P = 0.001), emergency JJ placement (P = 0.02), and JJ implantation time (P = 0.01), were risk factors for urinary colonisation in patients with JJ probes. Conclusion: The prevalence of urinary colonisation in patients with JJ catheters was 31.7%. Diabetes mellitus, prolonged JJ implantation, and emergency JJ placement were associated with a higher risk of urinary colonisation.Amine SaouliAbdelouhed LasriTarik KarmouniKhalid ElkhaderAbdellatif KoutaniAhmed Ibn Attya AndalousiTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S11- (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 Abdelouhed Lasri Tarik Karmouni Khalid Elkhader Abdellatif Koutani Ahmed Ibn Attya Andalousi [22] Urinary colonisation in patients with JJ catheters
description	Objective: To evaluate the prevalence of urinary colonisation in patients with JJ catheters and to define the risk factors associated with these colonisations, as urinary colonisation in patients with JJ catheters plays a key role in the physiopathology of urinary tract infections. Methods: This was a monocentric prospective study between January 2013 and April 2017. In all, 145 JJ ureteric catheters in 120 patients, 25 of which had bilateral probes, were examined. The bacteriological profile of the urine of our patients was followed by the completion of an initial cytobacteriological examination of urine and another at the time of removal of the JJ catheter. The comparison of the means was performed using the Student’s test and the Mann–Whitney test for continuous variables and by the chi-square test and Fisher’s test for qualitative variables. The threshold for statistical significance was set at P < 0.05. Results: The rate of colonised JJ probes was 35.8% (43/145). The urinary colonisation rate was 31.7%. The rate of urinary colonisation in patients with colonised probes was 71.1%, compared to 9.1% for non-colonised probes. Of the identified pathogens, Escherichia coli was found in 38.1% of the colonised probes; Klebsiella pneumoniae was second (19.1%), followed by Enterococcus faecalis (16.6%). The same bacteria isolated in the JJ probes were found in the urine. Diabetes mellitus (P = 0.001), emergency JJ placement (P = 0.02), and JJ implantation time (P = 0.01), were risk factors for urinary colonisation in patients with JJ probes. Conclusion: The prevalence of urinary colonisation in patients with JJ catheters was 31.7%. Diabetes mellitus, prolonged JJ implantation, and emergency JJ placement were associated with a higher risk of urinary colonisation.
format	article
author	Amine Saouli Abdelouhed Lasri Tarik Karmouni Khalid Elkhader Abdellatif Koutani Ahmed Ibn Attya Andalousi
author_facet	Amine Saouli Abdelouhed Lasri Tarik Karmouni Khalid Elkhader Abdellatif Koutani Ahmed Ibn Attya Andalousi
author_sort	Amine Saouli
title	[22] Urinary colonisation in patients with JJ catheters
title_short	[22] Urinary colonisation in patients with JJ catheters
title_full	[22] Urinary colonisation in patients with JJ catheters
title_fullStr	[22] Urinary colonisation in patients with JJ catheters
title_full_unstemmed	[22] Urinary colonisation in patients with JJ catheters
title_sort	[22] urinary colonisation in patients with jj catheters
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/b9c9332df9cd4e028f68414ef8d9ab18
work_keys_str_mv	AT aminesaouli 22urinarycolonisationinpatientswithjjcatheters AT abdelouhedlasri 22urinarycolonisationinpatientswithjjcatheters AT tarikkarmouni 22urinarycolonisationinpatientswithjjcatheters AT khalidelkhader 22urinarycolonisationinpatientswithjjcatheters AT abdellatifkoutani 22urinarycolonisationinpatientswithjjcatheters AT ahmedibnattyaandalousi 22urinarycolonisationinpatientswithjjcatheters
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[22] Urinary colonisation in patients with JJ catheters

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