Ureteric Stone-Related Escherichia coli Bacteraemia Associated with Spondylodiscitis

Uro ◽  
2021 ◽  
Vol 1 (4) ◽  
pp. 198-201
Author(s):  
Zahra Rehman ◽  
Jack Cullen ◽  
Samuel Withey ◽  
Francesca Kum
Keyword(s):  
Escherichia Coli ◽  
The Body ◽  
Stent Insertion ◽  
Hematogenous Spread ◽  
Ureteric Stone ◽  
Initial Management ◽  
E Coli ◽  
Ureteric Stent ◽  
Pyogenic Spondylodiscitis ◽  
Spread Of Infection

Escherichia coli (E. coli)-related urosepsis associated with a ureteric stone has been shown to cause a systemic bacteraemia that can spread to other parts of the body. Hematogenous spread of infection is the most common cause of pyogenic spondylodiscitis. A 74-year-old female presented with acute left-sided flank pain and was found to have an obstructing 9 mm distal ureteric stone. After initial management involving ureteric stent insertion, the patient deteriorated and developed an E. coli associated bacteraemia, which proved difficult to treat. Further investigations revealed a subsequent spondylodiscitis, which required a 6-week course of antibiotics and no additional intervention. This case presents the likely association of stone-related bacteraemia, complicated by urinary tract instrumentation leading to spondylodiscitis, and demonstrates the importance of clinicians’ awareness of other causes of unresolving sepsis in an elderly patient.

scholarly journals Evaluation of antipyretic activity of hydroalcoholic extract of Corchorus depressus Linn. in Escherichia coli–induced pyretic rabbits

2018 ◽  
Vol 16 ◽  
pp. 205873921879295
Author(s):  
Saeed Ahmad ◽  
Muhammad Akram ◽  
Syed Muhammad Ali Shah ◽  
Sabira Sultana
Keyword(s):  
Escherichia Coli ◽  
Positive Control ◽  
Negative Control ◽  
The Body ◽  
Hydroalcoholic Extract ◽  
Antipyretic Effect ◽  
E Coli ◽  
Antipyretic Activity ◽  
Experimental Treatments

This study was conducted to investigate the antipyretic effect of the hydroalcoholic extract of Corchorus depressus Linn. against Escherichia coli ( E. coli)-induced pyrexia in rabbits. Hydroalcohalic extracts of C. depressus were given orally at 25, 50, and 100 mg/kg for antipyretic affect in E. coli-induced fever in rabbits. The animals were divided into five groups of five each. Among these five groups, three received various doses of experimental treatments, whereas the fourth one served as positive control and received paracetamol. The fifth group of animals served as negative control and received no treatment. The body temperature of the rabbits was measured rectally over a period of 5 h. C. depressus exhibited better effects at dose rate of 25, 50, and 100 mg/kg. The hydroalcoholic extract of C. depressus has significant antipyretic effect. These results lend support to the popular use of C. depressus in traditional medicine as a remedy for pyrexia and suggest that the characterization of the principles for such activity deserves further investigation.

The distribution and genetic structure of Escherichia coli in Australian vertebrates: host and geographic effects

Microbiology ◽  
2003 ◽  
Vol 149 (12) ◽  
pp. 3575-3586 ◽  
Author(s):  
David M. Gordon ◽  
Ann Cowling
Keyword(s):  
Escherichia Coli ◽  
Body Mass ◽  
The Body ◽  
Ecological Niches ◽  
E Coli ◽  
Close Proximity ◽  
Host Diet ◽  
Group A ◽  
Human Habitation ◽  
The Tropics

Escherichia coli was isolated from more than 2300 non-domesticated vertebrate hosts living in Australia. E. coli was most prevalent in mammals, less prevalent in birds and uncommon in fish, frogs and reptiles. Mammals were unlikely to harbour E. coli if they lived in regions with a desert climate and less likely to have E. coli if they lived in the tropics than if they lived in semi-arid or temperate regions. In mammals, the likelihood of isolating E. coli from an individual depended on the diet of the host and E. coli was less prevalent in carnivores than in herbivores or omnivores. In both birds and mammals, the probability of isolating E. coli increased with the body mass of the host. Hosts living in close proximity to human habitation were more likely to harbour E. coli than hosts living away from people. The relative abundance of E. coli groups A, B1, B2 and D strains in mammals depended on climate, host diet and body mass. Group A strains were uncommon, but were isolated from both ectothermic and endothermic vertebrates. Group B1 strains could also be isolated from any vertebrate group, but were predominant in ectothermic vertebrates, birds and carnivorous mammals. Group B2 strains were unlikely to be isolated from ectotherms and were most abundant in omnivorous and herbivorous mammals. Group D strains were rare in ectotherms and uncommon in endotherms, but were equally abundant in birds and mammals. The results of this study suggest that, at the species level, the ecological niche of E. coli is mammals with hindgut modifications to enable microbial fermentation, or in the absence of a modified hindgut, E. coli can only establish a population in ‘large-bodied’ hosts. The non-random distribution of E. coli genotypes among the different host groups indicates that strains of the four E. coli groups may differ in their ecological niches and life-history characteristics.

scholarly journals Pre- versus postnatal initial colonization of healthy neonates’ colon ecosystem by the enterobacterium Escherichia coli

2021 ◽  
Author(s):  
Mohammad Al-Balawi ◽  
Fatthy Morsy
Keyword(s):  
Escherichia Coli ◽  
Bacterial Colonization ◽  
Human Colon ◽  
The Body ◽  
Healthy Male ◽  
Male And Female ◽  
E Coli ◽  
Normal Birth ◽  
Vaginal Canal ◽  
Encoding Gene

Abstract Background Human colon is a microbial ecosystem where its initial bacterial colonization in neonates is important step for establishing a beneficial microbiota for the body health. This study investigated occurrence of viable culturable Escherichia coli in first day meconium versus subsequent days stool to explore the prenatal versus postnatal initial colonization of colon by Escherichia coli in healthy neonates. Methods E. coli occurrence was conducted on eosin methylene blue agar followed by morphological and biochemical characterizations and phylogenetic analysis of 16S rRNA encoding gene. Results Viable culturable E. coli was not detected in meconium of healthy male and female neonates of normal birth or cesarean section surgical delivery. Neonates of surgical delivery showed no E. coli colonization at also 2nd and 3rd day confirming a postnatal colonization of colon by this enterobacterium. E. coli initial colonization in colon of normal birth neonates occur at 2nd day which can be attributed to inoculation from vaginal canal during delivery which in comparison to neonates of surgical delivery infers that the bacterium is not originally found in meconium. Conclusions This study suggests no viability of meconium microbiome in healthy neonates possibly due to antimicrobial action in the prenatal colon’s meconium protecting babies’ gut from infection during delivery.

Chemical Characterization and Biological Activity of Escherichia coli Lipopolysaccharides

2020 ◽  
Vol 82 (6) ◽  
pp. 35-42
Author(s):  
O.S. Brovarska ◽  
◽  
L.D. Varbanets ◽  
S.V. Kalinichenko ◽  
◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Fatty Acids ◽  
Biological Activity ◽  
Unsaturated Fatty Acids ◽  
Large Population ◽  
The Body ◽  
Gram Negative Bacteria ◽  
Double Immunodiffusion ◽  
Gram Negative ◽  
E Coli

Lipopolysaccharides (LPS) are specific components of the cell envelope of gram-negative bacteria, located at the external surface of their outer membrane and performing a number of important physicochemical and biological functions. The widespread in nature are representatives of Enterobacteriaceae family. Among them there are saprotrophic, useful human symbionts, as well as causative agents of acute intestinal infections. The role of saprophytic intestinal microbiota is not limited only to its participation in the digestion process. The endotoxin released as a result of self-renewal of the cell pool of Escherichia coli partially enters the portal blood and performs antigenic stimulation of the macroorganism. In addition, a small amount of endotoxin can also be released by live gram-negative bacteria, which, given the large population of E. coli in the intestine, can create a sufficiently high concentration of endotoxin. Aim. The study of composition and biological activity of lipopolysaccharides of new E. coli strains, found in the human body. Methods. The objects of investigation were strains of Escherichia coli, isolated from healthy patients at the epidemiological center in Kharkiv. Lipopolysaccharides were extracted from dried cells by 45% phenol water solution at 65–68°С by Westphal and Jann method. The amount of carbohydrates was determined by phenol-sulfuric method. Carbohydrate content was determined in accordance to the calibration curve, which was built using glucose as a standard. The content of nucleic acids was determined by Spirin method, protein − by Lowry method. Serological activity of LPS was investigated by double immunodiffusion in agar using the method of Ouchterlony. Results. In all studied E. coli LPS (2884, 2890, 2892), glucose was dominant monosaccharide (40.5, 41.1, 67.3%, respectively). LPS also contained rhamnose (1.8, 22.9, 1.6%, respectively), ribose (3.5, 6.1, 3.6%, respectively) and galactose (4.1, 20.2, 18.3%, respectively). E. coli 2884 LPS also contained arabinose (1.0%) and mannose (44.8%), while E. coli strains 2890 and 2892 LPS contained heptose (9.7 and 7.8%, respectively). Lipid A composition was presented by fatty acids with a carbon chain length from C12 to C18. As the predominant components were 3-hydroxytetradecanoic (39.2–51.3%) as well as tetradecanoic (23.1–28.5%), dodecanoic (8.9–10.9%), hexadecanoic (4.3–7.2%) and octadecanoic (1.8–2.4%) acids. Unsaturated fatty acids: hexadecenoic (2.0–17.9%) and octadecenoic (3.4–4.2%) have been also identified. It was found that octadecanoic and octadecenoic acids were absent in the LPS of 2884 and 2892 strains, respectively. In SDS-PAAG electrophoresis, a bimodal distribution typical for S-forms of LPS was observed. The studied LPS were toxic and pyrogenic. Double immunodiffusion in agar by Ouchterlony revealed that the tested LPS exhibited an antigenic activity in the homologous system. In heterologous system E. coli 2892 LPS had cross reactivity with LPS of E. coli 2890 and М-17. Since the structure of the O-specific polysaccharide (OPS) of E. coli M-17 was established by us earlier, the results of serological reactions make it possible to suggest an analogy of the E. coli 2892 and 2890 OPS structures with that of E. coli М-17 and their belonging to the same serogroup. Conclusions. The study of the composition and biological activity of LPS of new strains of Escherichia coli 2884, 2890 and 2892, isolated from the body of almost healthy patients, expands our knowledge about the biological characteristics of the species.

scholarly journals Prebiotic supplementation effect on Escherichia coli and Salmonella species associated with experimentally induced intestinal coccidiosis in rabbits

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e10714
Author(s):  
Shawky M. Aboelhadid ◽  
Shaymaa Hashem ◽  
El-Sayed Abdel-Kafy ◽  
Lilian N. Mahrous ◽  
Eman M. Farghly ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
High Resistance ◽  
Bacterial Infections ◽  
Positive Control ◽  
Negative Control ◽  
The Body ◽  
Microbiological Analysis ◽  
Bacterial Colony ◽  
Fecal Examination ◽  
E Coli

Background Coccidian infection may enhance the proliferation of gut Enterobacteriaceae. Bacterial infections in rabbits can negatively affect the body condition and cause high mortality, especially at young ages. Therefore, the effect of prebiotic supplementation on the presence of Escherichia coli and Salmonella species in rabbits experimentally infected with intestinal coccidiosis was investigated. Methods Thirty male rabbits aged 35–40 days were divided into three equal groups. These groups were; prebiotic supplemented (PS), positive control (PC), and negative control (NC) groups. The prebiotic group was supplemented with 2 g/L of Bio-Mos® until the end of the experiment. At day ten post prebiotic supplementation; the PS and PC groups were inoculated orally with 5.0 × 104 sporulated oocysts of mixed species of rabbit Eimeria. The daily fecal examination was carried out from the day 4 post-infection (PI) until the day 8 PI. At day 5 and day 8 PI, 5 rabbits from each group (PS, PC, and NC) were humanely slaughtered and parts of intestinal tissue were collected for microbiological analysis. Results There was a significant decrease (P≤ 0.05) in the oocyst count in the PS group (25.12 × 104 ± 10.36) when compared with the PC group (43.43 × 104 ± 11.52) and this decrease was continued till the end of the experiment. Eleven E. coli isolates were detected in the collected samples with an overall prevalence of 24.4%. The highest prevalence of E. coli was in the PC group (13.33%) while the lowest one was in the PS group (4.44%). Meanwhile, four Salmonella serovars were isolated with an overall prevalence of 8.89%. The NC group showed one serovar (2.22%) and PC revealed three serovars (6.67%) while the prebiotic supplemented group didn’t show any salmonella isolate. Of E. coli isolates, five isolates (O78, O125, O152, O115 and O168) showed high resistance to florfenicol and neomycin (100%). Also, of salmonella serovars, thee serovars (Salmonella entrica subsp. enterica serovar Macclesfield, Salmonella entrica Subsp. enterica serovar Canada and Salmonella entrica Subsp. enterica serovar Kisangani) showed high resistance to sulphamazole, amoxicillin and flumequin (75%) while it was sensitive to levofloxacin and ciprofloxacine (75%). The bacterial colony in this study was the same results at days 5 and 8 PI. Conclusion The use of prebiotic as prophylaxis in this experiment significantly reduced the prevalence of E. coli and salmonella associated with the intestinal coccidiosis in rabbits.

scholarly journals Influence of Sago in Improving a Weight Gain of Rats and the Health Profile of the Small Intestine of Rats Infected by Enteropathogenic Escherichia Coli (O127:H6)

2018 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Escherichia Coli ◽  
Body Weight ◽  
Small Intestine ◽  
Weight Gain ◽  
Intestinal Flora ◽  
Total Body Weight ◽  
Negative Control ◽  
The Body ◽  
E Coli ◽  
Baseline Weight

Background: Sago is one potential source of traditional food contain carbohydrates and have benefits as an anti-diarrheal. Escherichia coli are a member of the normal intestinal flora. However, one of the serotypes of this bacterium, E. coli (O127: H6) can be an important cause of diarrhea in infants. Objective: To analyze the sago effect on weight gain of rats and the profile morphology of small intestine that infected by E. coli (O127: H6). Methods: An experimental research using 20 wistar rats from April to June 2015. Rats were divided into four groups; Negative control 14 days (A), giving sago for 14 days (B), giving E. coli (O127: H6) and body weight lowered 20% from baseline weight for 7 days (C), giving E. coli (O127: H6) and body weight lowered 20% from baseline weight for 7 days simultanly with giving sago for 14 days (D). Weight gain measured daily, tissue biopsy of the small intestine is processed by using paraffin embedding and stained with hematoxylin eosin. Data were analyzed using Analysis of Varian (ANOVA) and to determine the differences in respectively group continued with the Last Significant Different (LSD). Results: Total body weight increase: (A) 19.80gr ± 1.64, (B) 12.80gr ± 1.64, (C) 27.40gr ± 2.40, (D) 14.20gr ± 0.44. Percentage villi damage (%): (A) 1.80 ± 0.44, (B) 1.60 ± 0.54, (C) 28.00 ±6.70, (D) 3.80 ± 0.83. Sago decreased percentage of small intestine villi damage 24.20%. Conclusion: Sago can increase the body weight and protect the small intestine villi damage from E.coli.

scholarly journals UJI PRAKLINIS 99mTc-KANAMISIN SEBAGAI RADIOFARMAKA UNTUK PENCITRAAN INFEKSI

2015 ◽  
Vol 16 (1) ◽  
pp. 15
Author(s):  
Iim Halimah ◽  
Ahmad Ridwan ◽  
Mukh Syaifudin
Keyword(s):  
Escherichia Coli ◽  
Staphylococcus Aureus ◽  
Temperature Response ◽  
The Body ◽  
Nutrient Agar ◽  
Thigh Muscle ◽  
Sterility Testing ◽  
E Coli ◽  
Direct Inoculation ◽  
Total Temperature

ABSTRAK UJI PRAKLINIS 99mTc-KANAMISIN SEBAGAI RADIOFARMAKA UNTUK PENCITRA-AN INFEKSI. 99mTc-kanamisin merupakan salah satu radiofarmaka yang digunakan untuk mendiagnosis infeksi hingga ke bagian tubuh yang sangat dalam. Penelitian ini bertujuan untuk mendapatkan informasi mengenai karakteristik praklinis 99mTc-kanamisin meliputi toksisitas, sterilitas, pirogenitas, dan biodistribusi. Uji toksisitas dilakukan pada 5 ekor mencit yang diinjeksi 99mTc-kanamisin secara intra vena ekor, dilanjutkan dengan pengamatan sampai dengan 24 jam setelah injeksi. Hasil pengamatan menunjukkan bahwa 99mTc-kanamisin tidak bersifat toksik. Uji sterilitas dengan metode inokulasi 99mTc-kanamisin secara langsung pada medium nutrient agar dan tioglikolat cair menunjukkan bahwa 99mTc-kanamisin bersifat steril. Uji pirogenitas pada 3 ekor kelinci yang diinjeksi 99mTc-kanamisin secara intra vena pada telinga menunjukkan bahwa suhu total respon sebesar 2,9 oC, yang berarti 99mTc-kanamisin belum bebas pirogen. Biodistribusi 99mTc-kanamisin dilakukan pada mencit yang tidak diinfeksi dan yang diinfeksi dengan bakteri Escherichia coli dan Staphylococcus aureus secara intra-muskular pada 24 jam sebelum injeksi 99mTc-kanamisin. Beberapa sampel organ dan jaringan mencit diambil pada interval waktu 30, 60, dan 180 menit pasca injeksi 99mTc-kanamisin secara intravena melalui ekor mencit, menunjukkan bahwa 99mTc-kanamisin terakumulasi di dalam organ target yaitu otot paha kiri. Nilai rasio otot paha kiri terhadap otot paha kanan yang diperoleh sebesar 3,63 dan 5,64, masing-masing untuk E. coli dan S. aureus. Radiofarmaka 99mTc-kanamisin bersifat tidak toksik, steril, mengandung pirogen, terdistribusi di dalam tubuh mencit dengan baik, dan diekskresikan secara cepat dari dalam tubuh mencit melalui ginjal mulai 30 menit pasca injeksi, baik pada mencit yang diinfeksi bakteri maupun mencit yang tidak diinfeksi bakteri. ABSTRACT99mTc-KANAMYCIN PRECLINICAL TESTING AS A  RADIOPHARMACEUTICAL FOR INFECTION IMAGING. Infectious disease is the leading cause of death in worldwide, especially in developing countries such as Indonesia. Early detection and determination of the exact location of infection by imaging methods can facilitate treatment. 99mTc-kanamycin is one of the radiopharmaceuticals that widely used for such purpose. The aim of the study was to obtain the information on the preclinical characteristics of 99mTc-kanamycin including toxicity, sterility, pirogenicity, and biodistribution. Toxicity test conducted in 5 mice injected radiopharmaceutical 99mTc-kanamycin intra venous tail, showed that the radiopharmaceutical was not toxic for 24 hours after intravenous injection. Sterility testing of radiopharmaceutical 99mTc-kanamycin conducted with direct inoculation on Nutrient Agar and liquid Thioglicolat medium showed that the radiopharmaceutical was sterile. Pyrogenicity test conducted in 3 rabbits injected with the radiopharmaceutical 99mTc-kanamycin showed that the total temperature response was 2.9oC, that means that the radiopharmaceutical was not free from pyrogen. Biodistribution of 99mTc-kanamycin at intervals of 30, 60, and 180 minutes post intravenously injection through the tail of mice, infected with Escherichia coli and Staphylococcus aureus intramuscularly 24 hours earlier, showed that 99mTc-kanamycin accumulates in the target organ of the left thigh muscle. The ratio values of left to right thigh muscle were 3.63 and 5.64 for  E. coli and S. aureus, respectively. Radiopharmaceutical 99mTc-kanamycin was not toxic, sterile, pyrogen, distributed in the body of mice, and were rapidly excreted from the body through the kidneys starting 30 minutes post injection, both in bacterials infected or without bacterials infected mice. ABSTRACT 99mTc-KANAMYCIN PRECLINICAL TESTING AS A RADIOPHARMACEUTICAL FOR INFECTION IMAGING. Infectious disease is the leading cause of death in worldwide, especially in developing countries such as Indonesia. Early detection and determination of the exact location of infection by imaging methods can facilitate treatment. 99mTc-kanamycin is one of the radiopharmaceuticals that widely used for such purpose. The aim of the study was to obtain the information on the preclinical characteristics of 99mTc-kanamycin including toxicity, sterility, pirogenicity, and biodistribution. Toxicity test conducted in 5 mice injected radiopharmaceutical 99mTc-kanamycin intra venous tail, showed that the radiopharmaceutical was not toxic for 24 hours after intravenous injection. Sterility testing of radiopharmaceutical 99mTc-kanamycin conducted with direct inoculation on Nutrient Agar and liquid Thioglicolat medium showed that the radiopharmaceutical was sterile. Pyrogenicity test conducted in 3 rabbits injected with the radiopharmaceutical 99mTc-kanamycin showed that the total temperature response was 2.9oC, that means that the radiopharmaceutical was not free from pyrogen. Biodistribution of 99mTc-kanamycin at intervals of 30, 60, and 180 minutes post intravenously injection through the tail of mice, infected with Escherichia coli and Staphylococcus aureus intramuscularly 24 hours earlier, showed that 99mTc-kanamycin accumulates in the target organ of the left thigh muscle. The ratio values of left to right thigh muscle were 3.63 and 5.64 for E. coli and S. aureus, respectively. Radiopharmaceutical 99mTc-kanamycin was not toxic, sterile, pyrogen, distributed in the body of mice, and were rapidly excreted from the body through the kidneys starting 30 minutes post injection, both in bacterials infected or without bacterials infected mice.

scholarly journals Mouse duodenum as a model of inflammation induced by enterotoxigenic Escherichia coli K88

2016 ◽  
Vol 60 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Kai Wang ◽  
Yu Qi ◽  
Shushuai Yi ◽  
Zhihua Pei ◽  
Na Pan ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Clinical Symptoms ◽  
Treated Group ◽  
Model Material ◽  
The Body ◽  
Enterotoxigenic Escherichia Coli ◽  
Control Group ◽  
Mucous Layer ◽  
E Coli ◽  
Tnf Α

Abstract Introduction: The aim of the experiment was to establish the enterotoxigenic Escherichia coli K88 (ETEC K88)-induced BALB/c mouse duodenum inflammation model. Material and Methods: Mice were administered different concentrations of E. coli K88 (1.0 × 107-109 CFU/mL) for 3 d by means of an esophageal catheter. Results: The results showed that the treated group expressed several significant clinical symptoms, such as reduced dietary demands and weight loss, an increased presence of IL-1α, TNF-α, and MPO in the peripheral blood, and some pathological changes in the duodenum. On the 6th-8th days, the body weight of the mice was the lowest. On the 8th day, there were significant differences in IL-1α, TNF-α, and MPO levels compared to the control group (P < 0.05), the gap between the duodenum mucous layer and the muscular layer had widened, the number of goblet cells was increased, and the inflammatory infiltrate and inflammation changes in the lamina propria and the mucous layer were the most obvious. Conclusion: The duodenum inflammation was the most severe on day 8; thus, the model was successfully established. In addition, varying concentrations of ETEC K88 did not significantly influence the duodenum inflammation (P > 0.05).

Management of iatrogenic ureteric injury with retrograde ureteric stenting: an analysis of factors affecting technical success and long-term outcome

2016 ◽  
Vol 58 (2) ◽  
pp. 170-175 ◽  
Author(s):  
Daniel Chung ◽  
James Briggs ◽  
Benjamin W Turney ◽  
Charles Ross Tapping
Keyword(s):  
Stent Insertion ◽  
Technical Success ◽  
Ureteric Injury ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Initial Management ◽  
Ureteric Stent ◽  
Ureteric Stenting ◽  
Ureteral Injuries

Background Iatrogenic ureteral injuries arise as serious complication following obstetrics, gynecological, general, and urological surgery with incidence in the range of 0.5–10%. Retrograde placement of double-J ureteric stent is a possible treatment option if the injury is not recognized at the time of surgery. Purpose To assess technical success and long-term outcome associated with retrograde ureteric stent insertion for iatrogenic ureteric injury. Material and Methods Between 1999 and 2011, 26 patients with initially unrecognized iatrogenic ureteric injury underwent initial management with retrograde ureteric stenting. Full case-notes were available for review in 25 patients. Results The mean interval from injury to attempted stenting was 19.4 days. Successful retrograde ureteric stenting was achieved in 21/25 patients (81%). Retrograde stenting failed in four patients, and nephrostomy followed by alternative procedures were performed instead. At a median follow-up interval of 9.7 months, normal anatomy was demonstrated on 12/21 patients (57%) and a stricture was observed in 6/21 patients (28%) with three requiring surgical intervention. Conclusion Retrograde stenting is a safe and efficient initial management in patients with iatrogenic ureteric injuries.

scholarly journals Uji Ekstrak Bawang Putih Tunggal (Allium sativum L.) Terhadap Bakteriuria Escherichia coli Pada Calon Pekerja Migran Indonesia

2021 ◽  
Vol 5 (1) ◽  
pp. 50-57
Author(s):  
Indah Sulistiyawati ◽  
Muhammad Falah ◽  
Ari Dwi Nurasih
Keyword(s):  
Escherichia Coli ◽  
Crude Extract ◽  
Migrant Workers ◽  
Allium Sativum ◽  
Positive Control ◽  
The Body ◽  
Garlic Extract ◽  
Urine Samples ◽  
P Value ◽  
E Coli

Garlic (Allium sativum L) is a tested type of phytopharmaca because it is proven to have beneficial benefits as antibacterial and protect the body from pathogens. The majority of Indonesian Migrant Workers, especially Prospective Indonesian Migrant Workers (CPMI), are indicated to be susceptible to Urinary Tract Infection (UTI), which is caused by the bacteriuria Escherichia coli. In this study, the crude extract of single garlic (A. sativum L) will be used as an antibacterial against E. coli bateriuria in the urine sample of CPMI, with variations in the concentration of single crude extract of garlic, namely; 0%, 25%, 50%, 75%, and 100%. This research was conducted in a period of 1 (one) year from January to December 2020, with urine research samples from CPMI in the Banyumas Regency area. Extraction was carried out by extracting a single garlic using 96% ethanol solvent in a ratio of 1: 1, then evaporated to produce a filtrate that would be tested with a varied concentrate composition. Isolation of bacteriuria in urine samples using EMBA selective media. From a total of 37 urine samples, 17 about 46% were positive for E. coli, and 20 samples were 54% negative for E. coli. Bacteriuria that was found challenged with crude garlic extract resulted in differences in the antibacterial test at several extract concentrations with amoxicillin positive control, with One Way Anova a P-value = 0.000 <0.05, and continued with the analysis of the Post Hoc Test and the Tuckey Test, that the garlic extract The single most effective used as an anti-bacterial agent is the concentration of 100%, resulting in an average inhibition of 12.81 mm. The ability of single garlic extract to inhibit increases with increasing extract concentrate.

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