Özet:

Purpose: Double J stent (DJS) is intended to reveal the relationship between urinary test and culture of infected patients with significant urinary infection and thus to prevent unnecessary antibiotic use and additional treatment. Tools and Methods: The data of patients who have been infected with DJS for various reasons between 2016 and 2019 was retrospective. A total of 152 patients were included in the study. The average age of patients was 48.9 ± 14.9 years. Indications for DJS assembly: 108 (%71.2) patients produced endoscopic and kidney stone treatment, 20 (%13.2) patients were percutaneous nefrolithotomy and 6 patients were kidney transplantation. In urinary analyses of patients, 8 patients found nitrit (+) and 117 patients (77) were leukocyte esterase (+). 20 patients (13% of them). There are several microorganisms in the culture of the urine. 75% of patients with nitritis positive had reproduction in the urine culture. There is no significant difference in the reproduction of microorganisms in the urine cultures of those who have an additional disease and those who do not have an extra disease (p=0.132). In the multi-variable regression analysis, it was found that none of the age, gender, catheter stay time, DJS placement indications predicted the development of urinary infection (p>0.05 for all variables). The result: in patients with uretheral stent, nitrit positive in urinary examination predicts infection of the urinary system in a high degree and requires treatment with appropriate antibiotics following the urinary culture.

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