Microbiological Studies of Intestinal Bacterial Flora in Urinary Diversion

Summary: In patients with and without preoperative antibiotic therapy, smear samples from the small and large bowel (terminal ileum, cecum, and ascending colon) were obtained at the time of resection of intestine for Mainz-pouch or ileal conduit urinary diversion. The samples were cultured for isolation and identification of the bacterial flora, and the sensitivity of the isolated bacterial colonies to antibacterial agents was tested. As compared to the terminal ileum, a greater of bacterial species was isolated in the ascending colon, especially E. COLI and anaerobia. In patients who received preoperatively ant…