| Autor: |
Çakıcı, Mehmet Çağlar, Kazan, Özgür, Çiçek, Muhammet, İplikçi, Ayberk, Yıldırım, Asıf, Atış, Gökhan |
| Zdroj: |
International Journal of Clinical Practice; Jul2021, Vol. 75 Issue 7, p1-6, 6p |
| Abstrakt: |
Aims: To investigate the effect of the ideal period (Δ‐day), which is a period between the sterile urine culture and initiation of flexible ureteroscopy (f‐URS), on postoperative urinary tract infections (UTI) in our tertiary referral centre. Methods: After obtaining the approval of the local ethics committee, retrospective data were collected for all f‐URS procedures performed between January 2017 and March 2019. Patients that developed UTI were matched in 1:1 proportion with patients that did not develop UTI based on their demographic and stone characteristics. The group of patients with postoperative UTI was compared with the control group. Results: A total of 916 f‐URS cases that had all required data were analysed. Sixty‐eight patients with postoperative UTI were determined and a total of 136 patients were included in the study after match‐pair. We found that if the Δ‐day is longer than 2 weeks, the possibility of postoperative urinary infection rates increases with statistical significance (P =.006). According to our subgroup analysis, postoperative UTI was more common if the Δ‐day >14 days. ROC curve analysis provided a 14.5‐day period as a cut‐off value of Δ‐day for postoperative UTI. Conclusions: The present study is the first to examine the impact of the Δ‐day for f‐URS on postoperative UTIs. In brief, prolonging the Δ‐day, especially if Δ‐day >14 days, leads to an increase in the rates of postoperative UTI. We conclude that it is preferred to either perform the f‐URS in the early period after the urine culture analysis or doing the urine culture analysis shortly before the surgery. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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