authors
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Janusz Dembowski 1, Ewa Mróz 2, Jarowit Stolarczyk 1, Jerzy Lorenz 1
- 1 Z Katedry i Kliniki Urologii Akademii Medycznej we Wrocławiu
Kierownik Kliniki: Prof, dr hab, J. Lorenz
2 Z Katedry i Zakładu Mikrobiologii Akademii Medycznej we Wrocławiu
Kierownik Katedry: Prof. dr hab, Kryspina Grzybek-Hryncewicz
keywords
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kidney kidney stones bacterial infection
summary
- Bacteriological examination of 99 kidney stones were done. In all patients the
- pretreatment midstream urine and kidney stones were analysed for bacterial isolates
- 50% of patients had positive kidney stones cultures ? mainly calcium phosphorate
- stones. Bacteriological cultures of midstream urine were positive in 71,4% patients
- with infected stones. 28% patients with infected stones had negative urine cultures.
- The most of ften seen bacteria within the stones were: Enterobacteriaceae and
- Pseudomonadaceae.
- Conclusions
- 1. 50% of kidney stones were infected.
- 2. The infected stones and urinary tract infection were observed move often in
- female tract infection were most fre±uent in phosphorate stone formers.
- 4. The fre±uency of infected stones was higher than the fre±uency of the signifi-
- cant bacteriuria - important for eventual antibacterial prophylaxis.
references
- (1) Brande A., Siemienski J.: Role of bacterial urease in experimental pyelonephritis, J.
- Bact., 1961,80, 171,
- (2) Bryan Chr S., Reynolds K.Z.: Community acquired bacteremic urinary tract infec-
- tion: epidemiology and outcome, J.Urol., 1984, 132, 490,
- (3) Fowler J.E. Jr.: Bacteriology of branched renal calculi and accompanying urinary
- tract infection, J. Urol., 1984, 131,213.
- (4) Go¶ciniak G, Mróz E., Grzybek-Hryncewicz K, Grabińska J., Kuna J.\ Bakteryjne
- czynniki etiologiczne zekażeń układu moczowego u dzieci, Ped. Pol., 1981, 5b, 825.
- (5) Hedelin H., Grenabo Z, Hugosson J., Fettersson S.\ E-coli and urinary tract con-
- crements, Scand. J. Urol. Nephrol., 1990, 24, 37.
- (6) Kałużewski S.: Informator metodyczno-organizacyjny Zakładu Bekteriologii PZH
- dla wojewódzkieh stacji sanitarno-epidemiologicznych. PZH, Warszawa, 1982.
- (7) Modliński Z.: Ocena laboratoryjeego badania 1000 kamieni moczowych u chorych
- na kamicę narz±du moczowego, Pol. Przeg. Chir., 1974, 11, 227.
- (8) Mróz E., Go¶ciniak G. Choroszy I.: Bakteriologiczne czynniki etiologiczne zakażeń
- układu moczowego u dorosłych, Wied, Zek., 1983, 3b, 3.
- (9) Nemoy NJ. Stamey T.A.: Surgical, bacteriological and biochemical management of
- "infection stones", J. Am. Med. Ass., 1971, 215, 1470.
- (10) Rocha H., De Almeida S.S.: Experimental pyelonephritis in rats with a glass bead in
- the bladder, J. Path, Bact., 1965, 90, 668.
- (11) Rocha H., Santos Z.C.S.: Relapse of urinary tract infection in the presence of urinary
- tract calculi: the role of bacteria within the calculi, J. Mved. Microbiol., 19b9,2, 372.
- (12) Schena EP., Sehatore C, SehaggiER, Barbutti S., Młarzullo E, Tallarigo A., Bo-
- nomo Z.: Immunological and bacteriological studies in chronic pyelonephritis asso-
- ciated with kidney stones, Nephron, 1979, 23, 162.
- (13) St±por K.: Kamica nerkowa a Odmiedniczkowe zapalenie nerek. Ann. Acad. Med.,
- ŁódĽ, 1964,5,267.
- (14) Stoller M.Ż., Workman S.J.: The effect of extracorporeal shock wave lithotripsy on
- the microbiological flora of urinary calculi, J. Urol., 1990, 144, 619.
- (15) Takeuchi H., Takayama //., Konishi T, Tomoyoshi T: Scanning electron microsco-
- py detects bacteria within infection stones, J. Urol., 1984, 132, 67.
- (16) Stolarczyk J., Lorenz J., Otręba Z, Dembowski J.\ Zakażenie drobnoustrojami roz-
- kładaj±cymi mocznik w kamicy nerkowej; Urol. Pol., 1981, 34, 1.
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