Journal of AdvancedMedical and Dental Sciences Research

A total of 250 consecutive patients attending the Urology department of a tertiary care hospital of Punjab were studied to investigate the incidence, microbial causes, duration and risk factors of bacteraemia following various endoscopic and endourological procedures. Bacteraemia was observed in 30.4% (76/250)of patients. Although, it was observed after minor procedures like cathetrisation and cystoscopy, but it was most common after prostatic surgery TUR-P (42.8%). It occurred within one hour of procedure in most of the patients and had a transitory life of few hours. No case developed symptomatic blood stream infection. Pre-operative   bacteriuria  was  present   in  47.2%  of  patients and 39.5% had similar organisms in blood and urine. Statistical concordance  between  the  blood  and  urine  isolates   was  insignificant  (p=0.14). Most common organism causing bacteraemia was coagulase negative staphylococci followed by Esch. coli and pseudomonas. All these organisms showed resistance to all the first line drugs.
Keywords: endoscopic and endourological procedures; TUR-P; bacteraemia; bacteriuria