Urinary sepsis after endourological ureterorenoscopy for the treatment of lithiasis
| Autor: | F. Arias Fúnez, M. Ruiz Hernández, C. Sánchez Guerrero, F.J. Burgos Revilla, G. Duque Ruiz, D.E. Diaz Pérez, J. Brasero Burgos, I. Laso García, J. Lorca Álvaro, Á.A. Fernández Alcalde |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Urinary system Urinary diversion 030232 urology & nephrology Urology Retrospective cohort study General Medicine Urine medicine.disease Sepsis 03 medical and health sciences Exact test 0302 clinical medicine medicine Kidney stones business Complication |
| Zdroj: | Actas Urológicas Españolas (English Edition). 43:293-299 |
| ISSN: | 2173-5786 |
| Popis: | Objective To evaluate the incidence, clinical presentation and factors associated with the development of urinary sepsis after performing ureterorenoscopy. Material and methods Retrospective study of patients undergoing ureterorenoscopy for the treatment of lithiasis between July 2015 and October 2017. Patients who developed urinary sepsis during the 30 days following the intervention were identified. Personal, clinical, surgical and microbiological backgrounds were collected. Statistical analysis was performed with the Chi squared test (or Fisher's exact test), Student's t (or U Mann–Whitney) or logistic regression as appropriate. Results 246 ureterorenoscopies were performed, 184 (74.8%) on ureteral stones and 62 (25.2%) on kidney stones, with a mean age of 52 (44.5–59.5) years. After procedure, 18 (7.3%) patients developed urinary sepsis, 10 of them (55.5%) occurred in the first 24 h. The urine culture showed enterobacteria (61.1%) and enterococci (38.9%). The antibiogram showed greater sensitivity to nitrofurantoins (100%) and quinolones (72%). The statistical analysis showed that female sex, the clinical debut of urolithiasis as urinary sepsis, having received antibiotic or having required urinary diversion by a double J during debut, positive presurgical uroculture and the persistence of residual lithiasis after surgery were significantly associated (p Conclusion Urinary sepsis is a complication that appears after performing ureterorenoscopy, especially in female patients with a history of urinary sepsis, antibiotic therapy, double J, previous positive urine culture or residual lithiasis after the procedure. |
| Databáze: | OpenAIRE |
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