1. Bacteriuria in patients with an orthotopic ileal neobladder: urinary tract infection or asymptomatic bacteriuria?
- Author
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Gregorio Imbalzano, Antonio Alcini, Giordano Dicuonzo, Gerardo Flammia, Stefania Musco, Michele Gallucci, and Francesca Suriano
- Subjects
Male ,Nephrology ,medicine.medical_specialty ,Bacteriuria ,Urology ,Urinary system ,medicine.medical_treatment ,Urine ,Urinary Diversion ,Cystectomy ,Sensitivity and Specificity ,Asymptomatic ,Postoperative Complications ,Internal medicine ,Gram-Negative Bacteria ,medicine ,Humans ,Prospective Studies ,Aged ,business.industry ,Urinary Reservoirs, Continent ,Urinary diversion ,Middle Aged ,medicine.disease ,Anti-Bacterial Agents ,Urinary Bladder Neoplasms ,Urinary Tract Infections ,Female ,medicine.symptom ,business ,Complication - Abstract
OBJECTIVE To investigate the prevalence of asymptomatic bacteriuria (ABU) and urinary tract infection (UTI), and the local and systemic inflammatory response, in patients with ileal neobladder. PATIENTS AND METHODS The study included 40 patients who had a radical cystectomy and ileal neobladder. Two urine samples, one for chemical and physical analysis, and cytofluorimetry, and one for urine culture, were collected every 3 months for 9 months after surgery. RESULTS Of 119 urine cultures, 69 (57%) were positive for bacteria. Only nine of the 40 patients had no bacteriuria on urine culture. Escherichia coli strains were cultured from eight of 10 patients with persistently positive urine. The incidence of bacteriuria was different according to gender. There was a high concentration of leukocytes (0–6 µL) in 118 of 119 samples. The mean concentration of leukocytes in sterile urine culture was 1181/µL, while in patients with ABU the mean was 491 (P
- Published
- 2008