Gram-Negative Endocarditis Following Cystoscopy

Marier, Robert L.; Valenti, August J.; Madri, Joseph A.

doi:10.1016/s0022-5347(17)57410-8

Cited by 19 publications

(10 citation statements)

References 13 publications

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“…5 Patients bacteraemic with S marcescens commonly do not have either a leucocytosis or a pyrexia. 3 5 S marcescens has been described as causing endocarditis with contiguous myocarditis in patients with valvar heart disease undergoing urological procedures 6 and in intravenous drug addicts. 1 To our knowledge it has not been reported as causing a multifocal septic myocarditis without valvar vegetations as was present in our case.…”

Section: Discussionmentioning

confidence: 99%

Fatal Serratia marcescens meningitis and myocarditis in a patient with an indwelling urinary catheter.

et al. 1998

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Serratia marcescens is commonly isolated from the urine of patients with an indwelling urinary catheter and in the absence of symptoms is often regarded as a contaminant. A case of fatal Serratia marcescens septicaemia with meningitis, brain abscesses, and myocarditis discovered at necropsy is described. The patient was an 83 year old man with an indwelling urinary catheter who suVered from several chronic medical conditions and from whose urine Serratia marcescens was isolated at the time of catheterisation. Serratia marcescens can be a virulent pathogen in particular groups of patients and when assessing its significance in catheter urine specimens, consideration should be given to recognised risk factors such as old age, previous antibiotic treatment, and underlying chronic or debilitating disease, even in the absence of clinical symptoms. (J Clin Pathol 1998;51:789-790)

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Section: Discussionmentioning

confidence: 99%

Fatal Serratia marcescens meningitis and myocarditis in a patient with an indwelling urinary catheter.

et al. 1998

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“…morgani has been isolated from blood, sputum and wounds (Braunstein and Tomasulo, 1978) and is occasionally the cause of urinary tract infections (Sevin and Buttiaux, 1939;Marier et al, 1978) though less frequently than P. mirabilis (McMillan, 1972;Senior, 1979) because of its slower growth rate and inability to make urine alkaline rapidly (Senior, 1983), the organism has often been regarded as only a harmless opportunistic pathogen. However, recent reports that M .…”

Section: Morganella Morgani (Proteus Morgani)mentioning

confidence: 99%

The typing of Morganella morgani by bacteriocin production and sensitivity

Senior

1987

Journal of Medical Microbiology

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Summary.A typing scheme for Morganella morgani based on bacteriocin (morganocin) production and sensitivity is described. These characteristics were determined by testing 160 strains in all combinations and permitted their differentiation into 90 types. Morganocin production was induced with mitomycin C and morganocin sensitivity determined with a diluted inoculum on Lab-lemco agar at 30°C. Most strains (82.5%) produced morganocins and 49 different types were defined. Most strains (97.5%) were sensitive to morganocins and usually to several different types. The scheme is more discriminating than other reported methods. The finding in an epidemiological survey of the carriage of certain strains in the bowel for several weeks suggests that in practice the method is stable and reproducible.

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“…Cystourethroscopy, which is a typical instrumentation of the urinary tract, creates UTIs or bacteremia in 2-21%. [101][102][103][104] Among patients with bacteriuria before cystourethroscopy, bacteremia occurs at a high rate. 101,105 Considering the importance of bacteremia after cystourethroscopy, antimicrobial chemotherapy before cystourethroscopy to eradicate urinary bacteria in the patients with bacteriuria.…”

Section: (1) Introductionmentioning

confidence: 99%

“…101,105 Considering the importance of bacteremia after cystourethroscopy, antimicrobial chemotherapy before cystourethroscopy to eradicate urinary bacteria in the patients with bacteriuria. 103,106,107 On the other hand , necessity of AMP is determined depending on the presence or absence of risk factor in each patient without suspecting UTIs before cystourethroscopy. AMP for cystourethroscopy is not recommended for low-risk patients in the advisory statement 108 or EAU guidelines.…”

Section: (1) Introductionmentioning

confidence: 99%

Japanese guidelines for prevention of perioperative infections in urological field

et al. 2007

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For urologists, it is very important to master surgical indications and surgical techniques. On the other hand , the knowledge of the prevention of perioperative infections and the improvement of surgical techniques should always be considered. Although the prevention of perioperative infections in each surgical field is a very important issue, the evidence and the number of guidelines are limited. Among them, the preparation of guidelines has progressed , especially in gastrointestinal surgery. The Center for Disease Control and Prevention (CDC) proposed guidelines for the prevention of surgical site infections, which have been used worldwide. In urology, the original guidelines were different from those of general surgery, due to many endourological procedures and urine exposure in the surgical field. The Japanese Society of UTI Cooperative Study Group has thus framed these guidelines supported by The Japanese Urological Association. The guidelines consist of the following nine techniques: open surgeries, laparoscopic surgeries, transurethral resection of bladder tumor, ureterorenoscope and transurethral lithotripsy, transurethral resection of the prostate, prostate biopsy, cystourethroscope, pediatric surgeries in the urological field , and extracorporeal shock wave lithotripsy and febrile neutropenia. These are the first guidelines for the prevention of perioperative infections in the urological field in Japan. Although most of these guidelines were made using reliable evidence, there are parts without enough evidence. Therefore, if new reliable data is reported , it will be necessary for these guidelines to be revised in the future. Key words:Open surgery, Laparoscopic surgery, TUR, Prostate biopsy, Cystourethroscope, ESWL. I. General remarksUrological practice mainly consists of surgical procedures, since the field of urology is a division of surgery. Therefore, it is very important to master surgical indications and surgical techniques. On the other hand , the knowledge of the prevention of perioperative infections and the improvement of surgical techniques should always be considered. Although the prevention of perioperative infections in each surgical field is a very important issue, these evidences are limited and the number of guidelines is limited. Among them, the preparation of guidelines has progressed , especially in gastrointestinal surgery. The Center for Disease Control and Prevention (CDC) proposed guidelines for the prevention of surgical site infections), 1 which have been used worldwide. In urology, the original guidelines were different from those of general surgery, due to many endourological procedures and urine exposure in the surgical field. We have thus framed these guidelines supported by The Japanese Urological Association. I-I Definition and classification of perioperative infectionsA perioperative infection is defined as an infection that occurs within one month after an operation. These infections are divided into two groups: surgical site infections (SSIs) and remote i...

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Gram-Negative Endocarditis Following Cystoscopy

Cited by 19 publications

References 13 publications

Fatal Serratia marcescens meningitis and myocarditis in a patient with an indwelling urinary catheter.

Fatal Serratia marcescens meningitis and myocarditis in a patient with an indwelling urinary catheter.

The typing of Morganella morgani by bacteriocin production and sensitivity

Japanese guidelines for prevention of perioperative infections in urological field

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