Abstract

A MULTIFACTORIAL APPROACH TO MANAGEMENT OF CKD DUE TO STRUVITE STONES

Aruna Devaraj R.*, Devaraj P., Raveena Judie Dolly D. and Dinesh Peter J.

Abstract

Struvite stone is composed of magnesium, ammonium phosphate and calcium carbonate. These are mostly caused by bacterial infection that hydrolyze urea to ammonium raising urine pH to neutral or alkaline values. Association of phosphate calculi with infection, alkaline or ammoniacal urine form recurring hard to clear stones causing severe pain. Urea-splitting organisms are Staphylococcus, Pseudomonas, Proteus, Klebsiella and Mycoplasma .A four year analysis of 322, 448, 518 &553 between2011 & 2014 was taken to study the season wise symptoms, causes, treatment and prevention. Case studies of 56 year old lady with Klebsiella infection& Hydronephrosis with (Kidney L/B ratio

Keywords: Chronic Kidney Disease(CKD), Struvite Kidney Stone Disease., Hydronephrosis.