Meropenem, rifampicin and gentamicin combination therapy in a patient with complicated urinary tract infection caused by extreme drug-resistant P. aeruginosa

Case report describes management of a 25-year-old male with nephrolithiasis who developed colistin neurotoxicity. Negative urine culture for Pseudomonas aeruginosa was achieved on 5th day of treatment with meropenem 6  g/day, gentamicin 2 mg/kg and rifampicin 300 mg
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news

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AbstractBackgroundWe sought to determine the rate of emergency department (ED) attendance for complications after ureterorenoscopy (URS) for stone disease and to identify risk factors for ED attendance after URS.MethodsAn analysis of all patients undergoing URS over 12  months at a single institution was performed. Patient demographics, preoperative and intraoperative variables associated with postoperative complications and subsequent ED attendance were collected. Logistic regression analyses were performed to determine predictors of URS complications presenting to ED.ResultsIn total, 202 ureteroscopies were performe...
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research
AbstractPurpose of ReviewTo present the latest evidence related to the predictors of urinary tract infections (UTIs) and urosepsis after ureteroscopy (URS) for stone disease.Recent FindingsOur review suggests that almost half of all post-URS complications are related to infectious complications although reported rates of urosepsis were low. The use of antibiotic prophylaxis, treatment of pre-operative UTI, and low procedural time seem to reduce this risk. However, the risk is higher in patients with higher Charlson comorbidity index, elderly patients, female gender, long duration of pre-procedural indwelling ureteric stent...
Source: Current Urology Reports - Category: Urology & Nephrology Source Type: research
Authors: Matsumoto K, Murakami Y, Shimizu Y, Hirayama T, Ishikawa W, Iwamura M Abstract BACKGROUND: No study has yet investigated the use of electronic nose (eNose) technology to reveal pattern recognition of urological diseases, including bladder cancer. OBJECTIVE: We sought to determine the diagnostic performance of the eNose in recognizing urinary odour in patients with bladder cancer. METHODS: The eNose is a commercially available model equipped with two sensors. The angle of the two sensors (θ) depends on the kinds of chemical substances, thus defining θ as the feature of odour. Quantity of...
Source: Cancer Biomarkers - Category: Cancer & Oncology Tags: Cancer Biomark Source Type: research
AbstractBiofilms are microbial communities established in the self ‐produced extracellular substances that include up to 80% of associated microbial infections. During biofilm formation, bacterial cells shift from the planktonic forms to aggregated forms surrounded by an extracellular polymeric substance. The bacterial biofilm shows resistance against immune reac tions as well as antibiotics and is potentially able to cause disorders by both device‐related and nondevice‐related infections. The nondevice‐related bacterial biofilm infections include dental plaque, urinary tract infections, cystic fibrosis, otitis med...
Source: IUBMB Life - Category: Research Authors: Tags: CRITICAL REVIEW Source Type: research
When most people think about E coli, the first thing that comes to mind likely is eating tainted food or as a result of improper handwashing. What came as a surprise to me was that it can also show up as a UTI (Urinary Tract Infection) caused by kidney stones that back up in the urethra, which prohibits the flow of urine. It is more than an academic exercise that had me researching this all too common condition in men and women. As I am writing, I am less than 24 hours post-surgery to remove these pesky critters that have been backing up the works since 2014. It was my fourth go around that culminated in a cystoscopy,...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Health-related Personal caregiving Source Type: blogs
ConclusionsThis study demonstrated that, compared to standard ECIRS, mini-ECIRS maintained SFR without increasing perioperative complications, tended to reduce postoperative pain and had a potential to reduce bleeding-related complications. This report suggests the advantages of ECIRS miniaturization for renal stones.
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
The surgical outcomes of patients with single ureteral stones who had undergone ureteroscopic Holmium laser lithotripsy as outpatients and compare them with those of patients who had received the same procedure as inpatients. Records were obtained from January 2012 to December 2016 for selected patients who had undergone the above mentioned procedure at our institution. Patients were excluded if their ECOG performance status was ≥2, presented with multiple stones or concomitant renal stones, had histories of cancer or congenital urinary system abnormalities, or had undergone urinary system reconstruction surgery. Patien...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
A new trend called 'dry-fasting' encourages followers to completely give up drinking water, but health experts say it could lead to dehydration, urinary tract infections and kidney stones.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
Ureteritis cystica is rare, benign entity that associates with chronic urothelial irritation such as recurrent urinary tract infection or nephrolithiasis. It is often diagnosed incidentally on routine imaging or ureteroscopy in asymptomatic individuals. In this case report, we present the retrograde pyelogram and ureteroscopy images of a rare case of extensive unilateral ureteritis cystica in a 78-year-old female presenting for elective stone surgery.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research
ConclusionsPediatric nephrologists have an important role in the diagnostic work-up and prevention of recurring nephrolithiasis.
Source: Pediatric Nephrology - Category: Urology & Nephrology Source Type: research
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