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Urologische Mikrobiologie

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Die Urologie

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Zusammenfassung

Die Urinmikrobiologie ist ein elementarer Bestandteil der Diagnostik und Therapie urologischer Infektionskrankheiten. Eine Vielzahl pathogener und fakultativ pathogener Erreger ist in der Lage, den Urogenitaltrakt zu besiedeln und Krankheiten zu verursachen. Eine sorgfältige Diagnostik seitens des Urologen ist notwendig, um das Vorhandensein einer Infektion zu erkennen und im Falle einer klinischen Relevanz den Erreger zu identifizieren und seine Resistenzlage zu ermitteln. Gerade in Zeiten einer zunehmenden Resistenzbildung ist ein aussagekräftiges Antibiogramm die unabdingbare Voraussetzung für die Einleitung einer rationalen Antibiotika-Therapie.

Guido Beyaert: deceased.

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Abbreviations

ADT:

Agardiffusionstest

ATCC:

American Type Culture Collection

CLED:

Cystin-Lactose-Elektrolyte-Deficient – Agar

CNA:

Colistin, Nalidixinsäure

DGKL:

Deutsche Vereinte Gesellschaft für Klinische Chemie und Laboratoriumsmedizin e. V.

G+:

Grampositive

G−:

Gramnegative

G/C:

Gentamycin/Chloramphenicol

HWI:

Harnwegsinfektion(en)

I:

(im Antibiogramm) Intermediär

INSTAND:

Gesellschaft zur Förderung der Qualitätssicherung in medizinischen Laboratorien e. V. (früher Institut für Standardisierung und Dokumentation im medizinischen Laboratorium e. V., die Abkürzung hat sich gehalten).

KBE:

Kolonie-bildende Einheiten

LANA:

L-Alanin Nitroanilid

MRGN:

Multi-Resistente Gram-Negative

MRSA:

Methicillin Resistenter Staphylococcus aureus

MRSE:

Methicillin Resistenter Staphylococcus epidermidis

N:

(im Antibiogramm) Nonsense

R:

(im Antibiogramm) Resistant

RfB:

Referenzinstitut für Bioanalytik

S:

(im Antibiogramm) Sensibel

STI:

Sexuell übertragbare Infektionen (Sexually Transmittable Infections)

VRE:

Vancomycin-Resistente Enterokokken

Literatur

  • Albrecht U, Goos KH, Schneider B (2007) A randomised, double-blind, placebo-controlled trial of a herbal medicinal product containing tropaeoli majoris her-ba (Nasturtium) and armoraciae rusticanae radix (Horseradish) for the prophylactic treatment of patients with chronically recurrent lower urinary tract infections. Curr Med Res Opin 23:2415–2422

    Article  PubMed  Google Scholar 

  • Baerheim A, Larsen E, Digranes A (1994) Vaginal application of lactobacilli in the prophylaxis of recurrent lower urinary tract infection in women. Scand J Prim Health Care 1994:12

    Google Scholar 

  • Baird-Parker AC (1965) The classification of staphylococci and micrococci from world-wide-sources. J Gen Microbiol 38:363–387

    Article  CAS  PubMed  Google Scholar 

  • Barber AE, Norton JP, Spivak AM, Mulvey MA (2013) Urinary tract infections: current and emerging management strategies. Clin Infect Dis 57(5):719–724. https://doi.org/10.1093/cid/cit284. Epub 2013 May 3

    Article  PubMed  PubMed Central  Google Scholar 

  • Beerepoot MA, ter Riet G, Nys S, van der Wal WM, de Borgie CA, de Reijke TM, Prins JM, Koeijers J, Verbon A, Stobberingh E, Geerlings SE (2012) Lactobacilli vs. antibiotics to prevent urinary tract infections: a randomized double-blind noninferiority trial in postmenopausal women. Arch Intern Med 172:704–712

    Article  CAS  PubMed  Google Scholar 

  • Behzadi P, Behzadi E, Ranjbar R (2015) Urinary tract infections and candida albicans. Cent Eur J Urol 68:96–101

    Article  Google Scholar 

  • Berry B, Kedia C, Grewal LK, Goyal M (2013) Acinetobacter: an opportunistic uropathogen. Indian J Sci Res Technol 1(1):35–37

    Google Scholar 

  • Bremer V, Dudareva-Vizule S, Buder S, an der Heiden M, Jansen K (2017) Sexuell übertragbare Infektionen in Deutschland – Die aktuelle epidemiologische Lage. Bundesgesundheitsblatt 60:948–957

    Article  Google Scholar 

  • Cauwelier B, Gordts B, Descheemaecker P, Van Landuyt H (2004) Evaluation of a disk diffusion method with cefoxitin (30 μg) for detection of methicillin-resistant Staphylococcus aureus. Eur J Clin Microbiol Infect Dis 23:389–392

    Article  CAS  PubMed  Google Scholar 

  • Chung YC, Chen HH, Yeh ML (2012) Vinegar for decreasing catheter-associated bacteriuria in long-term catheterized pateints: a randomized controlled trial. Biol Res Nurs 14:294–301

    Article  PubMed  Google Scholar 

  • Di MP, Agniel R, David K, Templer C, Gaillard JL, Denys P et al (2006) Reduction of Escherichia coli adherence to uroepithelial bladder cells after consumption of cranberry juice: a double-blind randomized placebo-controlled cross-over trial. World J Urol 24(1):21–27

    Article  Google Scholar 

  • Flores-Mireles AL, Walker JN, Caparon M, Hultgren SJ (2015) Urinary tract infections: epidemiology, mechanisms of infection and treatment options. Nat Rev Microbiol 13:269–284

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Foxman B, Buxton M (2013) Alternative approaches to conventional treatment of acute uncomplicated urinary tract infection in women. Curr Infect Dis Rep 15(2):124–129

    Article  PubMed  PubMed Central  Google Scholar 

  • Fünfstück S, Wagenlehner FME, Ölschläger T, Naber KG (2012) Urinary tract infections: cystitis, pyelonephritis, urosepsis. Dtsch Med Wochenschr 137:1–5

    Google Scholar 

  • Gleckman R, Esposito A, Crowley M et al (1979) Reliability of a single urine culture in establishing diagnosis of asymptomatic bacteriuria in adult males. J Clin Microbiol 9(5):596–597

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gosbell LB (2012) Methicillin-resistant Staphylococcus aureus. Am J Clin Dermatol 5:239–259

    Article  Google Scholar 

  • Gyssens IC (2011) Antibiotic policy. Int J Antimicrob Agents 38(Suppl):11–20

    Article  CAS  PubMed  Google Scholar 

  • Hacker J (2002) Urinary tract infection: from basic science to clinical application. Adv Exp Med Biol 485:1–8

    Article  Google Scholar 

  • Harjai K, Kumar R, Singh S (2010) Garlic blocks quorum sensing and attenuates the virulence of pseudomonas aeruginosa. FEMS Immunol Med Microbiol 58:161–168

    Article  CAS  PubMed  Google Scholar 

  • Heintz BH, Halilovic J, Christensen CL (2012) Vancomycin-resistant enterococcal urinary tract infections. PHarmacotherypy 30:1136–1149

    Article  Google Scholar 

  • Hidalgo G, Chan M, Tufenkji N (2011) Inhibition of Escherichia coli CFT073 fliC expression and motility by cranberry materials. Appl Environ Microbiol 77(19):6852–6857

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hörl WH (2011) Urinary tract infections. Internist (Berl) 52(9):1026, 1028–1031

    Google Scholar 

  • Hucker GJ, Conn HJ (1923) Methods of gram staining. Tech Bull 93:1–37

    Google Scholar 

  • Jeffrey F, Peipert MD (2003) Genital chlamydial infections. N Engl J Med 349:2424–2430

    Article  Google Scholar 

  • Kocur M, Kloos WE, Schleifer KH (2006) The genus micrococcus. Prokaryotes 3:961–971

    Article  Google Scholar 

  • Konieczna I, Zarnowiec P, Kwinkowski M, Kolesinska B, Fraczyk J, Kaminski Z, Kaca W (2012) Bacterial urease and ist role in long-lasting human diseases. Curr Protein Pept Sci 13:789–806

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Krishna S, Rajani K, Bairy I, Shobha KL (2011) Urinary infection by Corynebacterium urealyticum – look twice. J Clin Diagn Res 5:1646–1647

    Google Scholar 

  • Lifshitz E, Kramer L (2000) Outpatient urine culture: does collection technique matter? Arch Intern Med 60(16):2537–2540

    Article  Google Scholar 

  • Magistro G, Marcon J, Schubert S, Gratzke C, Stief CG (2017) Pathogenese der Harnwegsinfektion – Ein Update. Urologe 56:720–727

    Google Scholar 

  • Mhalu FS (1977) Streptococcus agalactiae in urinary tract infections. Postgrad Med J 53:216–218

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Neblett TR (1976) Use of droplet plating method and cystine-lactng electrolyte-deficient medium in routine quantitative urine culturing procedure. J Clin Microbiol 4:296

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Nielubowicz GR, Mobley HLT (2010) Host-pathogen interactions in urinary tract infection. Nat Rev Urol 7:430–441

    Google Scholar 

  • Parr (1939) Coliform Bacteria. Bacteriol Rev 3(1):1–48

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Prakash D, Saxena RS (2012) Prevalence and antimicrobial susceptibility pattern of Pseudomonas aeruginosa isolated from urine samples of hispitalized patients in Meerut, Uttar, Pradesh (India). World J Pharm Pharm Sci 2:275–286

    Google Scholar 

  • Pulcini C, Gyssens IC (2013) How to educate prescribers in antimicrobial stewardship practices. Virulence 4(2):192–202. https://doi.org/10.4161/viru.23706. Epub 2013 Jan 29

    Article  PubMed  PubMed Central  Google Scholar 

  • Rogers MJ, Simmons J, Walker RT, Weisburg WG, Woese CR, Tanner RS, Robinson IM, Stahl DA, Olsen G, Leach RH, Maniloff J (1985) Construction of the mycoplasma evolutionary tree from 5S rRNA sequence data. Proc Natl Acad Sci U S A 82:1160–1164

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sandersen KE (1976) Genetic relatedness in the family Enterobacteriaceae. Annu Rev Microbiol 30:327–349

    Article  Google Scholar 

  • Stamm WE, Cole B (1986) Asymptomatic Chlamydia trachomatis Urethritis in men. Sexually Transmitted Diseases, July-September 1986

    Google Scholar 

  • Stamm W, Norrby SR (2001) Urinary tract infections: disease panorama and challenges. J Infect Dis 183:1–4

    Article  Google Scholar 

  • Stiefelhagen P (2012) So behandeln Sie leitliniengerecht. Gynäkologie + Geburtshilfe 17(6):28–31

    Google Scholar 

  • Swan A (1954) The use of a bile-aesculin medium and of maxteds technique of lancefield grouping in the identification of enterococci (group D streptococci). J Clin Pathol 7:160

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Takeyama K, Kunishima Y, Matsukawa M, Takahashi S, Hirose T, Kobayashi N, Kobayashi H, Kobayashi I, Tsukamoto T (2002) Multidrug-resistant Pseudomonas aeruginosa isolated from the urine of patients with urinary tract infection. J Infect Chemother 8:59–63

    Google Scholar 

  • WHO, Global prevalence and incidence of selected curable sexually transmitted infections: overview and estimates (2001) World Health Organization. Dept. of Epidemic and Pandemic Alert and Response

    Google Scholar 

  • Wieser W, Denner EB et al (2002) Emended descriptions of the genus Micrococcus, Micrococcus luteus (Cohn 1872) and Micrococcus lylae (Kloos et al. 1974). Int J Syst Evol Microbiol 52(2):629–637

    Article  CAS  PubMed  Google Scholar 

  • Wilson ML, Gaido L (2004) Laboratory diagnosis of urinary tract infections in adult patient. CID 38:1150–1158

    Article  Google Scholar 

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Correspondence to Ivo Beyaert .

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© 2023 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

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Beyaert, I., Beyaert, G. (2023). Urologische Mikrobiologie. In: Michel, M.S., Thüroff, J.W., Janetschek, G., Wirth, M.P. (eds) Die Urologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-41168-7_214-2

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  • DOI: https://doi.org/10.1007/978-3-642-41168-7_214-2

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Chapter history

  1. Latest

    Urologische Mikrobiologie
    Published:
    01 March 2023

    DOI: https://doi.org/10.1007/978-3-642-41168-7_214-2

  2. Original

    Urologische Mikrobiologie
    Published:
    24 April 2015

    DOI: https://doi.org/10.1007/978-3-642-41168-7_214-1