skip to main content
Idioma:

Predictive factors of infectious complications in the postoperative of percutaneous nephrolithotomy

Lorenzo Soriano, L ; Ordaz Jurado, D G ; Pérez Ardavín, J ; Budía Alba, A ; Bahílo Mateu, P ; Trassierra Villa, M ; López Acón, D

Actas urológicas españolas (English ed.), 2019-04, Vol.43 (3), p.131-136 [Periódico revisado por pares]

Spain

Texto completo disponível

Citações Citado por
  • Título:
    Predictive factors of infectious complications in the postoperative of percutaneous nephrolithotomy
  • Autor: Lorenzo Soriano, L ; Ordaz Jurado, D G ; Pérez Ardavín, J ; Budía Alba, A ; Bahílo Mateu, P ; Trassierra Villa, M ; López Acón, D
  • Assuntos: Adult ; Aged ; Female ; Forecasting ; Humans ; Male ; Middle Aged ; Nephrolithotomy, Percutaneous ; Postoperative Complications - epidemiology ; Prospective Studies ; Sepsis - epidemiology ; Systemic Inflammatory Response Syndrome - epidemiology ; Urinary Tract Infections - epidemiology
  • É parte de: Actas urológicas españolas (English ed.), 2019-04, Vol.43 (3), p.131-136
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Infectious complications (IC) following percutaneous nephrolithotomy surgery (PCNL) can be life-threatening. Our objective was to analyse preoperative predictors of IC in PCNL. A total of 203 patients who underwent PCNL were included in a prospective study between January 2013 and February 2016. A postoperative IC was defined as urinary infection/pyelonephritis, systemic inflammatory response syndrome or sepsis. The variables analysed were age, gender, number, size(cm) and side of stone; Hounsfield units,diabetes (insulin dependent or not), preoperative culture, isolated bacteria, multitract, bodymass index and surgical time (min). A multivariate forward stepwise (logistic regression) was performed. IC occurred in 30 patients (14.8%): 9 (4.4%) had urinary infection, 14 (6.9%) systemic inflammatory response syndrome and 7 (3.5%) sepsis. In addition, 13 (43.3%) had negative preoperative urine culture, 15 (50%) positive and in 2 (6.7%) was not available. On the logistic regression analysis, stone size (cm), insulin dependent diabetes and female sex were independently associated with increased risk of IC (odds ratio [OR] 1.03, 14.6 and 7.8, respectively; P=.0001). Patients with large stone burdens, insulin diabetes condition and female gender, should be counselled properly regarding postoperative infection risks and closely followed up to diagnose IC (specially sepsis) soon enough. Negative preoperative urine culture seems not reliable enough to exclude an infectious complication according to our results.
  • Editor: Spain
  • Idioma: Inglês;Espanhol
Links
Voltar para lista de resultados

  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

Buscando em bases de dados remotas. Favor aguardar.