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Abstract
Background: Evaluating renal pelvis urine samples during surgery provides valuable information about bacteriology, supports the treatment of urinary tract infections, and minimizes serious complications such as sepsis and septic shock. The objective of this research is to determine the rate of urinary tract infection in renal pelvic urine samples, the rate of sepsis and septic shock after percutaneous nephrolithotomy as well as to examine the type of isolated bacteria in renal pelvic urine samples and their antibiogram.
Methods: A total of 69 patients that met the criteria were retrospective studied. All patients had renal pelvic urine samples collected at 2 time points: puncturing and after lithotripsy approximately 15 to 30 minutes. These urine samples were evaluated by urinalysis, gram stain, culture and antibiogram. In addition, pre-, intra-, and post - operative variables related to urinary tract infections were collected.
Results: The rate of urinary tract infection in renal pelvic urine samples was 31.88%, in which gram - negative bacteria accounted for 76.19%. The most commonisolated bacterial spp. was E.coli (46.15%), followed by Enterobacter cloacae, Proteus mirabilis, Staphylococcus aureus, Enterococcus faecalis and fungi. There was one case of sepsis, no septic shock or death recorded in our study.
Conclusions: Gram stain and renal pelvic urine culture are highly useful techniques to evaluate urinary tract infection when performing percutaneous nephrolithotomy. These techniques should be used for early detection and to minimize the rate of urinary tract infection complications such as sepsis and septic shock.
References
Stoller ML. Urinary Stone Disease.In:Smith’s General Urology. 18th ed.New York NY: McGraw- Hill; 2013: 249-278.
TürkC, NeisiusA, PetrikA, et al. European Association of Urology Guidelines on Urolithiasis,URL: https://uroweb. org/guideline/urolithiasis/; 2020.
Dogan HS, Guliyev F, Cetinkaya YS, et al. Importance of microbiological evaluation in management of infectious complications following percutaneous nephrolithotomy. International urology and nephrology. 2007;39(3):737-742.
Mariappan P, Smith G, Bariol SV, et al. Stone and pelvic urine culture and sensitivity are better than bladder urine as predictors of urosepsis following percutaneous nephrolithotomy: a prospective clinical study. The Journal of urology. 2005;173(5):1610-1614.
Karsiyakali N, Yucetas U, Karatas A, et al. Renal pelvis urine Gram stain as a traditional, but new marker in predicting postoperative fever and stone culture positivity in percutaneous nephrolithotomy: an observational, prospective, non-randomized cohort study. World Journal of Urology 2020;39(6):2135-2146.
Liu J,ZhouC, GaoW, et al. Does preoperative urine culture still play a role in predicting post-PCNL SIRS? A retrospective cohort study. Urolithiasis. 2019;48 (3): 251-256.
Yang T, Liu S, Hu J, et al. The evaluation of risk factors for postoperative infectious complications after percutaneous nephrolithotomy. BioMed Research International.2017.
Healy KA, Ogan K. Pathophysiology and management of infectious staghorn calculi. Urologic Clinics of North America. 2007; 34(3):363-374.
Akman T, Binbay M, Akcay M, et al. Variables that influence operative time during percutaneous nephrolithotomy: an analysis of 1897 cases. Journal of endourology. 2011;25(8):1269-1273.
Turna B, Nazli O, Demiryoguran S, et al. Percutaneous nephrolithotomy: variables that influence hemorrhage. Urology. 2007;69(4):603-607.
Patel N, Shi W, Liss M, et al. Multidrug resistant bacteriuria before percutaneous nephrolithotomy predicts for postoperative infectious complications. Journal of endourology. 2015;29(5):531-536.
Ramaraju K, Paranjothi AK, Namperumalsamy DB, et al. Predictors of systemic inflammatory response syndrome following percutaneous nephrolithotomy. Urology annals. 2016;8(4):449-450.
| Published | 29-12-2024 | |
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| Issue | No. 81 (2022) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.81.1 | |
| Keywords | Nhiễm khuẩn đường tiết niệu, tán sỏi thận qua da, soi tươi nhuộm gram nước tiểu bể thận, cấy nước tiểu bể thận. Urinary tract infection, percutaneous nephrolithotomy, renal pelvic urine gram stain, renal pelvic urine culture. |
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