STONE COMPOSITION PATTERN OF KIDNEY STONE
##plugins.themes.bootstrap3.article.main##
##plugins.themes.bootstrap3.article.sidebar##
Abstract
Objective: The purpose of this study was to know the bacterial and sensitivity pattern towards antimicrobials on kidney stones and to know the stone composition of kidney stones. Material &Method: Data were collected from medical record in 1 year period from January until Desember 2008 with descriptive study design. Results: We found 59 patients in that period, 32 males and 27 females, the mean age was 52,5 ± 10,31 with age 31 – 75 years old, most patients came from Bantul (16,9%) and 25,4% patients were housewives. From urine analysis we found leucocyturia (44,1%), erythrocyturia (39,0%), nitrituria (3,4%) and bacteriuria (6,8%). Urine culture showed E. coli (12,5%) and Candida (12,5%) being the most common causative microorganism. No antimicrobials was sensitive to all bacteriae while all antifungal was sensitive to candida. Stone composition showed ammonium (98%), calcium oxalate (91,8%), calcium non oxalate (93,9%), carbonate (22,4%), cholesterol (14,3%), uric acid (10,2%) and phosphate acid (10,2%). Conclusion: The most common stone composition were ammonium, calcium oxalate, and calcium non oxalate. E. coli still being the most common causative microorganism.Keywords: Kidney stone, stone composition, urinary tract infection, urine analysis, urine culture.
##plugins.themes.bootstrap3.article.details##
Zanetti G, Paparella S, Trinchieri A, Prezioso D, Rocco F, Naber KG. Infection and urolithiasis: Current clinical evidence in prophilaxis and antibiotic therapy. Ach Ital Urol Androl. 2008; 80(1): 5-12.
Kassimi MA, Abdul-Halim R, Hardy MJ. The problem of urinary stones in Western region of Saudi Arabia. Saudi Medical Journal. 1986; 7(4): 349-401.
Reynard J, Brewser S, Biers S. Stone disease in Oxford Handbook of Urology. New York: Oxford University Pers. 2006; 9: 350-63.
Schneider HJ. Epidemiology of urolithiasis. In: Schneider HJ. Editor. Urolithiasis Etiology Diagnosis. Berlin: Springer Verlag; 1989. p. 137-84.
Wollaston, WH. On gouty and urinary concretions. Phil. Trans; 1797. p. 386-401.
Not all kidney stones are created equal. In: Rodman JS, Seidmen C, Jones R, Eds. No more kidney stones. New York, Wiley; 1996. p. 20-5
Brown TR. On the relation between the variety of microorganisms and the composition of stone in calculous pyelonephritis. Journal of the American Medical Association. 1901; 36: 1395-7.
Fetter TR. Statistical analysis of patients with ureteral calculi. Journal of the American Medical Association. 1963; 186: 21-3.
Ye SJ, Yoo ES, Park YK. Analysis of urinary stone components during the last two decades. Korean J Urol. 2007; 48(12): 1285-8.
Naas T, Al-AgiliS, Bashir O. Urinary calculi: Bacteriological and chemical association. Eastern Mediteranean Health Journal. 2001; 7: 756-62.
Ryu KH, Kim MK, Jeong YB. A recent study on the antimicrobial sensitivity of the organisms that cause urinary tract infection. Korean J Urol. 2007; 48(6): 638-45.
Samirah, Darwati, Windarti, Hardjoeno. Pola dan sensitivitas kuman di penderita infeksi saluran kemih. Indonesian Journal of Clinical Pathology a Medical Laboratory. 2006; 12(3): 110-3.