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appropriate urine culture

Mehmet Akyüz, Emre Tokuç, Emrah Özsoy, Orhan Koca, Hüseyin Kanberoğlu, Metin Öztürk, Ramazan Topaktaş
OBJECTIVE: Urethral stricture is a common pathology with different etiologic factors in different age groups and societies. In our research, patients who underwent urethroplasty because of urethral stricture were evaluated in terms of etiology, localization, surgical technique and demographic characteristics. MATERIAL AND METHODS: One hundred and sixty-three patients with a mean age of 53.43±16.5 years, operated between January 2008 and May 2016 because of urethral stricture were retrospectively included in the study...
November 21, 2018: Turkish Journal of Urology
Karen Nagalingam
This article provides information on sepsis, which can be life threatening and is often difficult to identify due to subtle signs and symptoms. It is the body's response to infection resulting in injury to the tissues and organs. Assessment tools can be used to assess risk of sepsis and include considering a source of infection along with a NEWS 2 or qSOFA score. However, it is important to be aware of other subtle changes including cold or clammy skin and changes in the patient's behaviour such as new confusion...
November 8, 2018: British Journal of Nursing: BJN
Qian Wan, Geng Xiong, Guihua Liu, Thomas D Shupe, Guanghui Wei, Deying Zhang, Dan Liang, Xiongbing Lu, Anthony Atala, Yuanyuan Zhang
BACKGROUND: Autologous urothelial cells are often obtained via bladder biopsy to generate the bio-engineered urethra or bladder, while urine-derived stem cells (USC) can be obtained by a non-invasive approach. The objective of this study is to develop an optimal strategy for urothelium with permeability barrier properties using human USC which could be used for tissue repair in the urinary tract system. METHODS: USC were harvested from six healthy adult individuals...
November 8, 2018: Stem Cell Research & Therapy
Susan E Fielder, James H Meinkoth, Theresa E Rizzi, Andrew S Hanzlicek, Ruth Mackenzie Hallman
OBJECTIVES: The aim of this study was to describe clinical and diagnostic findings in cats with bone and joint disease associated with histoplasmosis. METHODS: Medical records from between 2011 and 2017 were reviewed. Inclusion criteria required: (1) diagnosis of histoplasmosis by cytology, histology, urine or serum Histoplasma antigen testing, or culture; and (2) lameness or joint effusion as a presenting complaint or physical examination finding. RESULTS: Twenty-five cases met the inclusion criteria...
November 8, 2018: Journal of Feline Medicine and Surgery
Yamirot Merga Duffa, Kumera Terfa Kitila, Dereje Mamuye Gebretsadik, Adane Bitew
Background: Urinary tract infection (UTI) is considered as the most common bacterial infection seen among the pediatric patients. Objective: This study was carried out in order to determine the prevalence of urinary tract infection in pediatric patients, identify bacterial uropathogens responsible for the infection, and study the antibiotic sensitivity patterns of bacterial isolates. Materials and Methods: A cross-sectional study designed and conducted from January to April 2014...
2018: International Journal of Microbiology
Ana Cecilia Bardossy, Takiah Williams, Karen Jones, Susan Szpunar, Marcus Zervos, George Alangaden, Katherine Reyes, Mohamad G Fakih
We compared interventions to improve urinary catheter care and urine culturing in adult intensive care units of 2 teaching hospitals. Compared to hospital A, hospital B had lower catheter utilization, more compliance with appropriate indications and maintenance, but higher urine culture use and more positive urine cultures per 1,000 patient days.
October 10, 2018: Infection Control and Hospital Epidemiology
Maryza Graham, Debra A Walker, Elizabeth Haremza, Arthur J Morris
Objectives: A 2017 laboratory survey conducted by the Royal College of Pathologists of Australasia Quality Assurance Programs (RCPAQAP) asked participants which antimicrobials they would report for given organisms in either blood or urine cultures in order to identify opportunities for improvement of antimicrobial reporting. Methods: Over-reporting was defined as reporting of broad-spectrum antimicrobials on isolates susceptible to narrow-spectrum antimicrobials...
October 5, 2018: Journal of Antimicrobial Chemotherapy
Poobalan Naidoo, Aliasgar Esmail, Jonathan G Peter, Malika Davids, Mohammed Fadul, Keertan Dheda
BACKGROUND: The World Health Organisation (WHO) recommends the use of adjunctive urine lipopolysaccharide lipoarabinomannan (LAM) testing in hospitalized HIV-infected persons with suspected tuberculosis (TB) and a CD4 count <100 cells/ml. However, the recommendation is conditional and uptake by individual treatment programs depends on perceived additional benefit. The aim of this study was to determine if adjunctive LAM testing had additional clinical benefits including reduction in health care-related use of resources...
October 4, 2018: International Journal of Infectious Diseases: IJID
J Haaijman, E E Stobberingh, L W van Buul, C M P M Hertogh, H Horninge
BACKGROUND: Urinary tract infections (UTIs) are the most prevalent infections in long-term care facilities (LTCFs). Numerous studies have described the problem of inadequate UTI diagnosis and treatment. We assessed the role of urine cultures in the diagnosis and treatment of UTIs in a LTCF. METHODS: In a 370-bed non-academic LTCF a retrospective assessment of antibiotic (AB) prescriptions for UTIs and urine cultures was performed from July 2014 to January 2016. The reasons why physicians, including 11 nursing home physicians and 2 junior doctors, ordered urine cultures were recorded using questionnaires...
September 20, 2018: BMC Geriatrics
Caitlin M Drumm, Javedan N Siddiqui, Sameer Desale, Jayashree Ramasethu
OBJECTIVE: Determine the significance of urinary tract infection (UTI) as a cause of late onset sepsis (LOS) in very low birth weight (VLBW) infants in the Neonatal Intensive Care Unit (NICU). STUDY DESIGN: Analysis of blood, cerebrospinal fluid and urine culture results in VLBW infants >72-h old, admitted to the Georgetown University Hospital NICU between 2005 and 2015. RESULT: Of 527 VLBW infants, 297 (56.4%) underwent 911 evaluations for LOS; only one-third included urine cultures...
September 12, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
Amartya Chakraborti, Anand Jaiswal, Pushpendra Kumar Verma, Ritu Singhal
Background: Long-term mechanical ventilation in an Intensive Care Unit (ICU) exposes the patient to fungal colonization and invasive fungal disease due to the presence of indwelling catheters, administration of broad-spectrum antibiotics, and intravenous corticosteroids. A study is hence required to study the risk factors and incidence of fungal infection in these patients. Methods: A prospective observational study was carried out in the respiratory ICU of a tertiary care hospital for a period of approximately 1 year in which patients on mechanical ventilation (>7 days) were enrolled...
August 2018: Indian Journal of Critical Care Medicine
Jin Woo Kim, You Jin Lee, Jae-Wook Chung, Yun-Sok Ha, Jun Nyung Lee, Eun Sang Yoo, Tae Gyun Kwon, Bum Soo Kim
Purpose: Ureteroscopic lithotripsy (URS) is gaining popularity for the management of ureteral stones and even renal stones, with high efficacy and minimal invasiveness. Although this procedure is known to be safe and to have a low complication rate, febrile urinary tract infection (UTI) after URS is not rare. Therefore, we aimed to analyze the risk factors and causative pathogens of febrile UTI after URS. Materials and Methods: Between January 2013 and June 2015, 304 patients underwent URS for ureteral or renal stones...
September 2018: Investigative and Clinical Urology
Beau M Bailey, Kenneth S Ramos, Alice Johnson, Charlene Mitchell
Systemic lupus erythematosus (SLE) is an autoimmune disease known to affect a variety of organ systems. Patients with SLE are more prone to developing common infections that can mimic the complications of SLE. As such, it is essential to differentiate complications of SLE from infection to ensure appropriate management and to improve morbidity and mortality of this patient population. Here we present a 24-year-old, Hispanic male, with SLE complicated by dialysis-dependent end-stage renal disease and dilated cardiomyopathy...
September 2018: Journal of Clinical Medicine Research
Giovanni Lorenzin, Giorgio Piccinelli, Lucrezia Carlassara, Francesco Scolari, Francesca Caccuri, Arnaldo Caruso, Maria Antonia De Francesco
Background: Myroides spp. are common environmental organisms and they can be isolated predominantly in water, soil, food and in sewage treatment plants. In the last two decades, an increasing number of infections such as urinary tract infections and skin and soft tissue infections, caused by these microorganisms has been reported. Selection of appropriate antibiotic therapy to treat the infections caused by Myroides spp . is difficult due to the production of a biofilm and the organism's intrinsic resistance to many antibiotic classes...
2018: Antimicrobial Resistance and Infection Control
Neelima Angaali, Laxmi Vemu, Chavali Padmasri, Neeraja Mamidi, Vijay Dharma Teja
INTRODUCTION: Urinary tract infections (UTIs) are the most common infectious diseases occurring in either the community or healthcare setting. Turnaround time for urine culture is about 24 h, and antimicrobial susceptibility testing (AST) requires another 24 h. Consequently, initial antibiotic therapy is mostly empirical. MATERIALS AND METHODS: This study was conducted at Nizam's Institute of Medical Sciences, Hyderabad. Turbid urine samples which showed pus cells and Gram-negative (GN) bacilli of single morphotype were included...
July 2018: Journal of Laboratory Physicians
Stanislas Abrard, Benoit Cousin, Thomas Reydel, Myriam Ammi, Laurent Beydon
Introduction: Aortitis is rare. The etiological diagnosis is difficult but essential for treatment. Even with appropriate treatment mortality remains high. We present a case of pneumococcal aortitis followed by a brief review of the literature. Presentation of Case: In this case, the aortic disease was characterized by multiple inflammatory aneurysms. Blood cultures were negative but urine was tested for the presence of pneumococcal urinary antigen postoperatively was positive...
2018: IDCases
Antonio Morales, Manuel Campos, Jose M Juarez, Bernardo Canovas-Segura, Francisco Palacios, Roque Marin
BACKGROUND: Local cumulative antibiograms are useful tools with which to select appropriate empiric or directed therapies when treating infectious diseases at a hospital. However, data represented in traditional antibiograms are static, incomplete and not well adapted to decision-making. METHODS: We propose a decision support method for empiric antibiotic therapy based on the Number Needed to Fail (NNF) measure. NNF indicates the number of patients that would need to be treated with a specific antibiotic for one to be inadequately treated...
August 2018: Journal of Biomedical Informatics
Bernd Rosenhammer, Philipp J Spachmann, Maximilian Burger, Hans-Martin Fritsche, Marco J Schnabel
BACKGROUND: Acute renal colic (ARC) is an emergency that can mostly be treated conservatively, but can be life threatening in combination with urinary tract infection (UTI). Assessment for infection includes white blood cell (WBC) count and C-reactive protein (CRP), but these parameters are often unspecifically elevated and might lead to antibiotic over-therapy. In times of increasing antibiotic resistance, however, unnecessary antibiotic therapy should be avoided. OBJECTIVES: The goal of the study was to investigate the prevalence of UTI proven by urine culture (UC) in patients with ARC and to identify predictive factors in the emergency setting...
September 2018: Journal of Emergency Medicine
Peter Daley, David Garcia, Raheel Inayatullah, Carla Penney, Sarah Boyd
DESIGNWe conducted a randomized, parallel, unblinded, superiority trial of a laboratory reporting intervention designed to reduce antibiotic treatment of asymptomatic bacteriuria (ASB).METHODSResults of positive urine cultures from 110 consecutive inpatients at 2 urban acute-care hospitals were randomized to standard report (control) or modified report (intervention). The standard report included bacterial count, bacterial identification, and antibiotic susceptibility information including drug dosage and cost...
July 2018: Infection Control and Hospital Epidemiology
Dong Chen, Yuyan Zhang, Jian Huang, Xiongfa Liang, Tao Zeng, Chuangxin Lan, Xiaolu Duan, Zhijian Zhao, Guohua Zeng, Hans-Göran Tiselius, Xiaogang Lu, Wenqi Wu
PURPOSE: The characteristics and resistance patterns of urine bacteriology in patients with urinary tract stones have not been extensively studied. This study aims to investigate the microbial spectrum and antibiotic resistance of uropathogens isolated from urinary tract infections in patients with urinary stones and provide a basis for appropriate antimicrobial treatments. METHODS: The results of positive bladder midstream urine cultures and their antimicrobial susceptibility were retrospectively analysed from hospitalised patients with diagnosis of urinary calculi and urinary tract infections between January 2010 and December 2015...
June 2018: International Journal of Clinical Practice
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