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• W2068908872 abstract "No AccessJournal of UrologyINVESTIGATIVE UROLOGY1 May 2004Genotyping Demonstrates That the Strains of Proteus Mirabilis From Bladder Stones and Catheter Encrustations of Patients Undergoing Long-Term Bladder Catheterization are Identical N.A. SABBUBA, D.J. STICKLER, E. MAHENTHIRALINGAM, D.J. PAINTER, J. PARKIN, and R.C.L. FENELEY N.A. SABBUBAN.A. SABBUBA More articles by this author , D.J. STICKLERD.J. STICKLER More articles by this author , E. MAHENTHIRALINGAME. MAHENTHIRALINGAM More articles by this author , D.J. PAINTERD.J. PAINTER More articles by this author , J. PARKINJ. PARKIN More articles by this author , and R.C.L. FENELEYR.C.L. FENELEY More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000123062.26461.f9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We established the incidence of bladder stones in patients who experienced recurrent encrustation and blockage of indwelling bladder catheters and examined the relationship between isolates of Proteus mirabilis from the stones and from the crystalline biofilms on the catheters. Materials and Methods: The first 100 patients attending a clinic for patients experiencing problems with the management of long-term bladder catheters were studied. Flexible cystoscopy was used to detect bladder stones. Catheter encrustation was assessed visually and by electron microscopy. Bacteriological analysis was performed on the stones and catheter biofilms. P. mirabilis isolates were genotyped by pulsed field gel electrophoresis of restriction enzyme digests of bacterial DNA. Results: Most patients (85%) had been referred because of catheter blockage and in 61 (72%) the catheters were encrusted. P. mirabilis was recovered from 37 of 47 encrusted catheters (79%) that were examined but not from any nonencrusted catheters. Of the 61 patients with encrusted catheters 38 (62%) had bladder stones. Pairs of isolates of P. mirabilis from the stones and the catheter biofilms from 6 patients were genotyped. The DNA profiles of each pair of isolates were identical. Conclusions: The majority of patients (62%) with recurrent catheter encrustation had bladder stones. The stones harbored the strains of P. mirabilis that rapidly colonize replacement catheters with crystalline biofilm. Flexible cystoscopy to detect and remove stones might help resolve the problem of recurrent catheter encrustation. 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Google Scholar 16 : Proteus mirabilis biofilms and the encrustation of urethral catheters. Urol Res1993; 21: 407. Google Scholar 17 Sabbuba N.A.: Studies on the Epidemiology and Pathogenesis of Catheter-Associated Proteus mirabilis Urinary Tract Infections. Ph. D. Thesis, University of Wales, Cardiff, United Kingdom, 2003 Google Scholar 18 : Vaccines for Proteus mirabilis in urinary tract infection. Int J Antimicrob Agents2002; 19: 461. Google Scholar From the Cardiff School of Biosciences, Cardiff University (NAS, DJS, EM), Cardiff and Bristol Urological Institute (DJP, JP, RCLF), Southmead Hospital, Bristol, United Kingdom© 2004 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 171Issue 5May 2004Page: 1925-1928 Advertisement Copyright & Permissions© 2004 by American Urological Association, Inc.KeywordsProteus mirabilisbladderurinary calculigenotypecatheterizationMetricsAuthor Information N.A. SABBUBA More articles by this author D.J. STICKLER More articles by this author E. MAHENTHIRALINGAM More articles by this author D.J. PAINTER More articles by this author J. PARKIN More articles by this author R.C.L. FENELEY More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2068908872 title "Genotyping Demonstrates That the Strains of Proteus Mirabilis From Bladder Stones and Catheter Encrustations of Patients Undergoing Long-Term Bladder Catheterization are Identical" @default.
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