Bacteriology of upper urinary tract stones |
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Authors: | J Hugosson L Grenabo H Hedelin S Pettersson S Seeberg |
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Affiliation: | Department of Urology, Sahlgrenska sjukhuset, University of G?teborg, Sweden. |
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Abstract: | Extensive cultures of stones and urine were performed in 215 patients who underwent an operation for upper urinary tract calculi. Microorganisms could be cultured from the stone in 1 of every 3 patients. Despite the extended culture technique urease-producing microorganisms could be cultured from the stone in only 48% of the patients with calculi that contained magnesium ammonium phosphate. This finding suggests that an infection with urease-producing microorganisms is not obligatory for the formation of this type of stone. Of the patients with calcium oxalate phosphate stones 32% had positive stone cultures, which distinguished them from patients with pure calcium oxalate stones, only 8% of whom had a positive stone culture (p less than 0.001). |
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