In:
Medical review, National Library of Serbia, Vol. 75, No. 9-10 ( 2022), p. 301-304
Kurzfassung:
Introduction. Purple urine bag syndrome is a condition where the urinary
catheter bag turns purple as a result of the interaction between bacteria,
urine and components of the urine bag. It appears in a certain group of
patients with the following risk factors: urinary tract infection, older
age, long-term indwelling urinary catheter, constipation, chronic kidney
disease. Case Report. Two patients with purple urine bag syndrome are
presented. The first patient, a 66-year-old man, was hospitalized due to
decompensation of alcoholic liver cirrhosis. A urinary catheter was placed
on admission, and on the fourteenth day of hospitalization, a purple
discoloration of the urine in the urinary bag was noticed.
Multidrug-resistant Proteus mirabilis and Enterococcus faecalis were
isolated by microbiological analysis of urine. The second patient was a
92-year-old man, hospitalized for acute gastrointestinal bleeding in the
form of hematochezia, with an indwelling urinary catheter and a history of a
prostate cancer surgery. On the third hospital day, a purple content in the
urinary catheter bag was detected and Klebsiella pneumoniae and Morganella
morganii were confirmed by bacteriological analysis. Both patients were
without clinical and laboratory signs of acute infection. In both cases, the
urinary catheter was replaced and ceftriaxone was administered empirically.
Conclusion. Current guidelines for purple urine bag syndrome recommend
catheter replacement and empiric antibiotic therapy. In clinical practice,
it is necessary to emphasize that urine sampling for bacteriological
analysis is performed only after replacing the catheter, in order to
establish the exact etiology of the syndrome and radical use of antibiotics.
Materialart:
Online-Ressource
ISSN:
0025-8105
,
1820-7383
DOI:
10.2298/MPNS2210301S
Sprache:
Englisch
Verlag:
National Library of Serbia
Publikationsdatum:
2022
ZDB Id:
2381028-2
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