• Logo
  • SBMUJournals

The Prevalence of Urinary Tract Infection Following Flexible Ureterenoscopy and the Associated Risk Factors

Barbaros Baseskioglu
552

Views


Abstract

Purpose: To evaluate the risk factors for urinary tract infection (UTI) after retrograde intrarenal surgery (RIRS).

Materials and Methods: A retrospective evaluation of the records of patients who underwent RIRS from January 2013 to September 2016 was performed. All interventions were done by the same surgeon and by applying the same technique.

Result: 111 patients were included in the study with a mean age of 47.5 years (range: 14-84 years). Postoperative infection rate was 12.6% (n= 14). SWL, preoperative double J stent insertion, localization, gender, and the opera­tion side had no impact on origination of infectious complications (P > .05 for all). Preoperative infection history (P = .002, OR=7.96, %95CI: 2.0- 30.5), comorbidity score (P = .008, OR=7.79, CI%95: 1.7- 35.5), and residual fragments (P = .045, OR=5.12, CI%95: 1.03 – 25.36) were found to be the significant risk parameters of postop­erative infectious complications.

Conclusion: To reduce UTI complications, it is necessary to pay attention to patients with comorbidities, prescribe appropriate prophylactic antibiotic therapy for those who have urinary tract infection history and help patients to achieve stone free status.


References

Guisti G, Proietti S, Peschechara R et al. Sky is no limit for ureteroscopy: extending the indications and special circumstances. World J Urol 2015;33: 309-314

Ising S, Labenski H, Baltes S, Khaffaf A, Thomas C, Wiesner C. Flexible Ureterorenoscopy for Treatment of Kidney Stones: Establishment as Primary Standard Therapy in a Tertiary Stone Center. Urol Int. 2015;95(3):329-35

Samplaski MK, Irwin BH, Desai M. Less-invasive ways to remove stones from the kidneys and ureters. Cleve Cain J Med 2009; 76: 592-598

Levy MM, Fink MP, Marshall JC et al SCM/ESICM/ACCP/ATS/SIS international sepsis definitons conference. Crit. Care Med. 2003;31: 1250-1256

Fuchs GJ, Fuchs AM. Flexible endoscopy of the upper urinary tract. A newminimally invasive method for diagnosis and treatment. Urologe A. 1990 Nov;29(6):313-20

Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, Knoll T. EAU Guidelines on Diagnosis and Conservative Management of Urolithiasis. Eur Urol. 2016; 69: 468-74

Martov A, Gravas S, Etemadian M, Unsal A, Barusso G, D'Addessi A, Krambeck A, de la Rosette J; Clinical Research Office of the Endourological Society Ureteroscopy Study Group. Postoperative infection rates in patients with a negative baseline urine culture undergoing ureteroscopic stone removal: a matched case-control analysis on antibiotic prophylaxis from the CROES URS global study. J Endourol. 2015 ;29 :171-80

Fan S, Gong B, Hao Z, Zhang L, Zhou J, Zhang Y, Liang C. Risk factors of infectious complications following flexible ureteroscope with a holmium laser: a retrospective study. Int J Clin Exp Med. 2015 Jul 15;8(7):11252-9.

Zhong W, Leto G, Wang L, Zeng G. Systemic inflammatory response syndrome after flexible ureteroscopic lithotripsy: a study of risk factors. J Endourol. 2015 Jan;29(1):25-8

Grabe M, Botto H, Cek M, Tenke P, Wagenlehner FM, Naber KG, Bjerklund Johansen TE. Preoperative assessment of the patient and risk factors for infectious complications and tentative classification of surgical field contamination of urological procedures. World J Urol. 2012 Feb;30(1):39-50

Zhong W, Zeng G, Wu K, Li X, Chen W, Yang H. Does a smaller tract in percutaneous nephrolithotomy contribute to high renal pelvic pressure and postoperative fever? J Endourol. 2008 Sep;22(9):2147-51




DOI: http://dx.doi.org/10.22037/uj.v0i0.4340

Refbacks

  • There are currently no refbacks.