COMPARATIVE ANALYSIS OF BACTERIAL PATHOGENS AND CRYSTALLURIA IN CASES ENROLLED IN A TERTIARY CARE TEACHING HOSPITAL, TIRUCHIRAPALLI, INDIA
Abstract
Urinary tract infections correlated with crystalluria are highlighted recently to understand the real picture of infections by crystalluria or crystalluria by infections. This makes us to select this issue to perform the prevalence of crystals in urine samples and its association with bacterial urinary tract infections. The role of microscopic examination for identification is routine and identical for determining the different types of urinary crystals. The major aim and objectives of this investigation are to find out the predominant types of crystals in urine, age and sex incidence value, urine pH correlated with crystals and bacteriological examination of urine samples associated with UTIs. Among 136 urine samples included, 74 (54.4%) were males and 62 (45.6%) were females of different age groups. By urine sediment analysis, among the normal crystals, calcium oxalate and amorphous urates were found predominant followed by cholesterol found among abnormal crystals. The results highlighted the presence of different types of crystals in the urine samples and strongly supported the pH ranges. The variations in the pH range from 2 to 8. The correlation of the results of crystal formation with bacterial culture showed a predominance of monomicrobial bacteriuria among 27 cases (19.8%) and polymicrobial entities among 4 cases (2.9%). By this study, the authors have a mystery whether the crystal formation leads to the bacterial infection or the infection leads to crystal formation. In the case of positive urine crystal analysis, the clinicians may consider the microbiological investigations to find out the real picture.
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