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Extracorporeal shock wave lithotripsy (ESWL) may be associated with infectious and inflammatory complications. The dynamics of the microbial spectrum of urine and the need for antibiotic prophylaxis are still poorly understood. The study included 40 patients with simple pelvic ВЕСТНИК УРОЛОГИИ  UROLOGY HERALD  2016, No4  UROVEST.RU 25 stones, which one session was held ESWL. Bacteriological examination were taken midstream urine to ESWL, when the first urination after ESWL, 1, 3, 7 days. Patients were divided into 2 groups. Group I consisted of patients (60%) with antibiotic prophylaxis. Patients of group II (40%) of antibiotic prophylaxis was not performed. The pattern of isolated microorganisms were as follows: NAB 92.5%, Gram-positive microorganisms 70.0%, urease-producing microorganisms 60,0%, E.coli 12,5%. Dynamic study of the microbial spectrum of urine Group found that the prophylactic use of antibiotics after ESWL simple junction stones accompanied by increased frequency of occurrence and levels of contamination of urine urease-producing bacteria, Candida, Gram-positive microorganisms and increases the risk of infectious and inflammatory complications in connection with the question of the need for antibiotic prophylaxis to be decided individually.

MICROBIOTA URINE AND ANTIBIOTIC PROPHYLAXIS FOR LITHOTRIPSY SIMPLE JUNCTION STONES