Management of upper urinary tract infections caused by pseudomonas aeruginosa after operation of upper urinary tract obstruction / 重庆医科大学学报

ABSTRACT

1?105/ml。These cases were assigned to A or B group randomly.The management of A groupdouble-J tubes were placed and retained for 2 weeks again,and used susceptible antibiotics for 2 weeks→ discontinued drugs for 1 week→urine cultured,PA(+)→used susceptible antibiotics for 2 weeks→discontinued drugs for 1 week→urine cultured,PA(+)→used susceptible antibiotics for 2 weeks;the management of B groupdouble-J tube(sCook,F6,America)were placed again,and used susceptible antibiotics for 2 weeks→discontinued drugs for 1 week→urine cultured,PA(+)→used susceptible antibiotics for 2 weeks,until the infection was cured,the double-J tube was removed after the infection was cured.Results:A groupdouble-J tubes were retained for 2 weeks additionally;4 patients were cured during the first two-week,2 patients were cured during the second two-week,the cure rate was 40%after two courses,one was cured during the third two-week,the cure rate was 46.7%after three courses.B groupdouble-J tubes was retained for 4～12 weeks(mean 8 weeks)additionally,3 patients were cured during the first two-week,9 patients were cured during the second two-week,the cure rate was 80%after two courses,2 patients were cured during the third two-week,the cure rate was 93.3%after three courses.The cure rate ofBgroup was significantlyhigher than Agroup after twocourses and three courses,the difference was significan(tP