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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 12 No. 1-2 (2021)

Perspective Determination of the relationship between Bacteriuria and D-J Stent Colonization due to the indwelling of D-J Stent following A-H Pyeloplasty

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2021
CONTENTSVolume 12Number 1 & 2January - July 2021
Editorial
Birth defects: a challenge of Neonatal surgery
Md Tosaddeque Hossain Siddiqui
01
Original Articles
Comparative Outcomes of the Bishop Koop Procedure and Primary Anastomosis in Jejunoileal atresia
Fatema Sayeed, Md Ashraf Ul Huq, Md Tawhidul Islam, Bipul Bhusan Das, Samiul Hasan
03
Understanding the Unseen Burden of Common Health Problems of School-going Children in Sub-urban Area: Insights from a Single-day Health Programme
Arpita Biswangree, Md Fahadul Islam, Rifah Sanjeedah Tahsin, Rahatil Asyekin Raha, Mustari Nailah Tabassum, Bijita Biswangree, Zarrin Tasnim Anwar, Debjyoti Barua, Tarannum Mahmood, Md Sharif Imam, Tahmina Banu
10
Perspective Determination of the relationship between Bacteriuria and D-J Stent Colonization due to the indwelling of D-J Stent following A-H Pyeloplasty
Md Sharif Imam, Tanvir Kabir Chowdhury, Md Khurshid Alam Sarwar, Md Abdullah Al Farooq
17
Advancement in Paediatric Laparoscopic Surgery: Two Years’ Experience in A Tertiary Level Medical College Hospital in Bangladesh
Md Shahin Reza, Md Samidur Rahman, Elora Afroz Leema, Mashkurul Alam Minar, Mohammad Mahabubul Alam, Umma Fatema
24
Outcomes and Predictors of Ventriculoperitoneal Shunt Failure in Children with Hydrocephalus
Md Delwar Hossain, Ferdous K M N, Rahman A
30
Impact of single dose versus multidose prophylactic use of antibiotics in elective inguinal herniotomy in children: A prospective study
Muhammad Mizanur Rahman Shibli, Mahabur Rahman Sarker, Md Moniruzzaman, S M Noor E Shadid, A K M Mahbub Alam
37
Case Reports
Staged Pediatric Scalp Reconstruction for Extensive Lacerations with Necrosis Following Agricultural Machinery Injury: A Case Report
Aminur Rashid Sangeet, Ashik Ahsan, Kamrul Islam Mamun, Tazin Ahsan
41
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Md Sharif ImamDepartment of Paediatric Surgery, Chattogram Maa-O-Shishu Hospital Medical College, Agrabad, Chattogram, Bangladesh.
  • Tanvir Kabir ChowdhuryDepartment of Paediatric Urology, Chittagong Medical College and Hospital, Chattogram, Bangladesh.
  • Md Khurshid Alam SarwarDepartment of Paediatric Surgery, Cox’s Bazar Medical College and Hospital, Cox’s Bazar, Bangladesh.
  • Md Abdullah Al FarooqDepartment of Paediatric Surgery, Chittagong Medical College and Hospital, Chattogram, Bangladesh.

Keywords

Double-J stent urinary tract infection stent colonization microorganism antibiotic sensitivity

Abstract

Background: The Double J (D-J) stent is commonly used following A-H pyeloplasty to facilitate the drainage of urine from the kidney to the bladder. One of the most frequent complications associated with the D-J stent is bacterial colonization, which can occur both on the stent itself and in the urine. However, bacterial colonization of an indwelling D-J stent may serve as a nidus for bacteriuria. The aim of this study was to identify the microbiological characteristics associated with stent colonization and urinary tract infection (UTI) in these patients, as well as to determine the drug susceptibility of the microorganisms involved. Methods: This study was conducted in the Department of Pediatric Surgery at Chittagong Medical College and Hospital over a period of twenty-four months, from January 2018 to December 2019. A total of 31 patients with unilateral PUJ obstruction who underwent A-H pyeloplasty were included in this study. D-J stents were placed and left in situ for four weeks. The main outcome variables were UTI, stent colonization, microorganisms cultured from both the D-J stent and urine, and their antibiotic sensitivities. Post-operative follow-ups were conducted at 2 weeks, 1 month, 3 months, 6 months, and 12 months following A-H pyeloplasty, utilizing urine routine microbiological examination (R/M/E) and culture and sensitivity (C/S) tests. Results: There was a total of 31 patients included in this study. The median age was 5 years (IQR: 1.7 years to 7 years), and the male-to-female ratio was 2.44:1. The affected side was right in 14 cases (45.2%) and left in 17 cases (54.8%). One month after the pyeloplasty, 41.9% of cases had positive urinary culture, and the proximal and distal segments of the D-J stent were colonized in 32% and 61.3% of patients, respectively. However, no statistically significant association was found between stent colonization and urine culture. The most commonly identified organisms colonized in both the stent and urine were Escherichia coli. These cultured organisms were mostly sensitive to nitrofurantoin and meropenem. Conclusion: Bacterial colonization in the D-J stent does not always induce UTI. Escherichia coli was the most frequently identified organism found in both the stent and urine, while nitrofurantoin and meropenem demonstrated high sensitivity against this pathogen.

Journal of Paediatric Surgeons of Bangladesh (2021) Vol. 12 (1 & 2): 17–23

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