open access

Vol 10, No 1 (2005)
Published online: 2005-01-01
Submitted: 2004-02-06
Get Citation

Urinary tract infections in patients with malignant neoplasms of the genitourinary system

Zefiryn Cybulski, Andrzej Roszak, Zofia Talaga, Alicja Grabiec, Joanna Kaźmierska
DOI: 10.1016/S1507-1367(05)71078-6
·
Rep Pract Oncol Radiother 2005;10(1):23-26.

open access

Vol 10, No 1 (2005)
Published online: 2005-01-01
Submitted: 2004-02-06

Abstract

Aim

To diagnose the etiological factors involved in urinary tract infections (UTI) and to examine antibiotic sensitivities in bacteria – causative agents of UTI in female patients with genitourinary malignancies.

Materials/Methods

Nineteen patients aged between 35 and 75 years treated for genitourinary malignancies and with a diagnosis of UTI were examined. The majority of these patients (17) were treated with X rays to the pelvic region (tele – and brachytherapy). Six patients were treated for endometrial carcinoma. One patient was treated for ovarian cancer, and one for vaginal cancer. Significant bacteriuria was defined as 104 or more CFUs/ml in quantitative urine examination. Microorganisms were identified according to standard bacteriological methods using bio-Merieux tests. The isolated bacteria were tested for antibiotic sensitivity using the ATB Expression system.

Results

E. coli was the most frequently observed causative factor in cases of UTI. E. faecalis strains were the next most commonly observed species. One of 11 isolated E. coli strains was resistant to 5 antibiotics, a second was resistant to 3 antibiotics and three strains were resistant to 2 antibiotics. E. coli strains were classified into 9, and E. faecalis into 4, sensitivity patterns. UTI was diagnosed in four patients with stage I B, in four with stage III B and in one patient with stage IV cervical cancer.

Conclusions

E. coli and E. faecalis were the most frequently isolated species from the urine of female patients with genitourinary malignancies. These bacteria are among the main causative agents of UTI. The results of these investigations may be used for epidemiological purposes: to find the causes and sources of nosocomial infections and in the prophylaxis of these infections.

Abstract

Aim

To diagnose the etiological factors involved in urinary tract infections (UTI) and to examine antibiotic sensitivities in bacteria – causative agents of UTI in female patients with genitourinary malignancies.

Materials/Methods

Nineteen patients aged between 35 and 75 years treated for genitourinary malignancies and with a diagnosis of UTI were examined. The majority of these patients (17) were treated with X rays to the pelvic region (tele – and brachytherapy). Six patients were treated for endometrial carcinoma. One patient was treated for ovarian cancer, and one for vaginal cancer. Significant bacteriuria was defined as 104 or more CFUs/ml in quantitative urine examination. Microorganisms were identified according to standard bacteriological methods using bio-Merieux tests. The isolated bacteria were tested for antibiotic sensitivity using the ATB Expression system.

Results

E. coli was the most frequently observed causative factor in cases of UTI. E. faecalis strains were the next most commonly observed species. One of 11 isolated E. coli strains was resistant to 5 antibiotics, a second was resistant to 3 antibiotics and three strains were resistant to 2 antibiotics. E. coli strains were classified into 9, and E. faecalis into 4, sensitivity patterns. UTI was diagnosed in four patients with stage I B, in four with stage III B and in one patient with stage IV cervical cancer.

Conclusions

E. coli and E. faecalis were the most frequently isolated species from the urine of female patients with genitourinary malignancies. These bacteria are among the main causative agents of UTI. The results of these investigations may be used for epidemiological purposes: to find the causes and sources of nosocomial infections and in the prophylaxis of these infections.

Get Citation

Keywords

urinary tract infections; genitourinary cancers

About this article
Title

Urinary tract infections in patients with malignant neoplasms of the genitourinary system

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 10, No 1 (2005)

Pages

23-26

Published online

2005-01-01

DOI

10.1016/S1507-1367(05)71078-6

Bibliographic record

Rep Pract Oncol Radiother 2005;10(1):23-26.

Keywords

urinary tract infections
genitourinary cancers

Authors

Zefiryn Cybulski
Andrzej Roszak
Zofia Talaga
Alicja Grabiec
Joanna Kaźmierska

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: journals@viamedica.pl