The effect of ideal urine culture time on urinary infections after flexible ureteroscopy: A match‐pair case‐control study
| Autor: | Mehmet Çağlar Çakıcı, Gokhan Atis, Ayberk Iplikçi, Özgür Kazan, Asif Yildirim, Muhammet Çiçek |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Urinary infection business.industry Urinary system Case-control study Ethics committee Subgroup analysis General Medicine Urine Flexible ureteroscopy 030204 cardiovascular system & hematology urologic and male genital diseases 03 medical and health sciences Postoperative Complications 0302 clinical medicine Case-Control Studies Statistical significance Internal medicine Urinary Tract Infections Ureteroscopy Humans Medicine 030212 general & internal medicine business Retrospective Studies |
| Zdroj: | International Journal of Clinical Practice. 75 |
| ISSN: | 1742-1241 1368-5031 |
| DOI: | 10.1111/ijcp.14212 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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