Evidence map›Paper›PMID 30981280›Full record

ArticleMicrobiome2019

Encrustations on ureteral stents from patients without urinary tract infection reveal distinct urotypes and a low bacterial load.

Matthias T Buhmann, Dominik Abt, Oliver Nolte, Thomas R Neu, Sebastian Strempel, Werner C Albrich, Patrick Betschart, Valentin Zumstein, Antonia Neels, Katharina Maniura-Weber and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Microbiome, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02845726 (Biofilms on Short-term Indwelling Ureteral Stents), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02845726 completednot on this map

Biofilms on Short-term Indwelling Ureteral Stents: Influence on Associated Symptoms and Complications; Prediction by Urine Analysis; Current Bacterial Spectrum and Antibiotic Resistance

TypeobservationalSponsorCantonal Hospital of St. GallenRan2016 to 2017Enrolled85ConditionsUreteral Catheterization, Biofilm, MorbidityArmsStent examination, urinary analysis, USSQ questionnaire
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  7. Review
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  11. Review
  12. Regenerative biomaterials · 2022
    Article
  13. Microorganisms · 2021
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Matthias T BuhmannLaboratory for Biointerfaces, Empa, Swiss Federal Laboratories for Materials Science and Technology, Lerchenfeldstrasse 5, 9014, St. Gallen, Switzerland. buhmann@gmx.de.ORCID 0000-0002-3185-6827
Dominik AbtDepartment of Urology, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
Oliver NolteZentrum für Labormedizin, Frohbergstrasse 3, 9001, St. Gallen, Switzerland.
Thomas R NeuMicrobiology of Interfaces, Department River Ecology, Helmholtz Centre for Environmental Research - UFZ, Brueckstrasse 3A, 39114, Magdeburg, Germany.
Sebastian StrempelMicrosynth AG, Schützenstrasse 15, 9436, Balgach, Switzerland.
Werner C AlbrichDivision of Infectious Diseases/Hospital Epidemiology, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
Patrick BetschartDepartment of Urology, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
Valentin ZumsteinDepartment of Urology, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
Antonia NeelsCenter for X-ray Analytics, Empa, Überlandstrasse 129, 8600, Dübendorf, Switzerland.
Katharina Maniura-WeberLaboratory for Biointerfaces, Empa, Swiss Federal Laboratories for Materials Science and Technology, Lerchenfeldstrasse 5, 9014, St. Gallen, Switzerland.
Qun RenLaboratory for Biointerfaces, Empa, Swiss Federal Laboratories for Materials Science and Technology, Lerchenfeldstrasse 5, 9014, St. Gallen, Switzerland. qun.ren@empa.ch.
Kantonsspital St. Gallen · CHSwiss Federal Laboratories for Materials Science and Technology · CHHelmholtz Centre for Environmental Research · DEMicrosynth (Switzerland) · CHZentrum für Labormedizin · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent knowledge of the urinary tract microbiome is limited to urine analysis and analysis of biofilms formed on Foley catheters. Bacterial biofilms on ureteral stents have rarely been investigated, and no cultivation-independent data are available on the microbiome of the encrustations on the stents.

resultsThe typical encrustations of organic and inorganic urine-derived material, including microbial biofilms formed during 3-6 weeks on ureteral stents in patients treated for kidney and ureteral stones, and without reported urinary tract infection at the time of stent insertion, were analysed. Next-generation sequencing of the 16S rRNA gene V3-V4 region revealed presence of different urotypes, distinct bacterial communities. Analysis of bacterial load was performed by combining quantification of 16S rRNA gene copy numbers by qPCR with microscopy and cultivation-dependent analysis methods, which revealed that ureteral stent biofilms mostly contain low numbers of bacteria. Fluorescence microscopy indicates the presence of extracellular DNA. Bacteria identified in biofilms by microscopy had mostly morphogenic similarities to gram-positive bacteria, in few cases to Lactobacillus and Corynebacterium, while sequencing showed many additional bacterial genera. Weddellite crystals were absent in biofilms of patients with Enterobacterales and Corynebacterium-dominated microbiomes.

conclusionsThis study provides novel insights into the bacterial burden in ureteral stent encrustations and the urinary tract microbiome. Short-term (3-6 weeks) ureteral stenting is associated with a low load of viable and visible bacteria in ureteral stent encrustations, which may be different from long-term stenting. Patients could be classified according to different urotypes, some of which were dominated by potentially pathogenic species. Facultative pathogens however appear to be a common feature in patients without clinically manifested urinary tract infection.

trial registrationClinicalTrials.gov, NCT02845726 . Registered on 30 June 2016-retrospectively registered.

Indexed as

AdolescentAdultAgedAged, 80 and overBacteriaBacterial LoadBacterial Physiological PhenomenaBiofilmsFemaleHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedRetrospective StudiesRNA, Ribosomal, 16SSequence Analysis, DNARNA, Ribosomal, 16SBiofilmCultivation-independent methodsEncrustationMicrobiomeNext-generation sequencingqPCRUreteral stentUrinary tract microbiota

Identifiers

PMID30981280
PMCPMC6462311
OpenAlexW2937315155

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.