Risk factors of febrile urinary tract infections following retrograde intrarenal surgery for renal stones.
Adult
Aged
Female
Fever
/ etiology
Humans
Kidney Calculi
/ surgery
Logistic Models
Male
Middle Aged
Nephrotomy
/ adverse effects
Odds Ratio
Operative Time
Postoperative Complications
/ etiology
Preoperative Period
Pyuria
/ complications
Retrospective Studies
Risk Factors
Treatment Outcome
Urinary Tract Infections
/ etiology
Journal
Medicine
ISSN: 1536-5964
Titre abrégé: Medicine (Baltimore)
Pays: United States
ID NLM: 2985248R
Informations de publication
Date de publication:
02 Apr 2021
02 Apr 2021
Historique:
received:
06
12
2020
accepted:
25
02
2021
entrez:
31
3
2021
pubmed:
1
4
2021
medline:
15
4
2021
Statut:
ppublish
Résumé
We aimed to evaluate the risk factors of febrile urinary tract infection (UTI) following retrograde intrarenal surgery (RIRS) for treating renal stones.We retrospectively reviewed the data of patients with 10 - 30 mm kidney stones who underwent RIRS from January 2014 to July 2017. Evaluation included age, gender, body mass index, stone size, stone location, and operative time. All surgeries were performed by a single surgeon and ureteral stenting was not done prior surgery. The risk factors of febrile UTI after RIRS were assessed by univariate and multivariate logistic regression analysis.A total of 150 patients were included in the present study, and 17 patients (11.3%) had febrile UTI after RIRS. Mean patient age was 56.64 ± 13.91 years, and both genders were evenly distributed. Mean stone size was 14.16 ± 5.89 mm. and mean operation time was 74.50 ± 42.56 minutes. According to univariate analysis, preoperative pyuria was associated with postoperative febrile UTI. Multivariate logistic regression analysis showed that preoperative pyuria was the only independent risk factor of infectious complications after RIRS (odds ratios 8.311, 95% confidence intervals 1.759 - 39.275, P = .008). Age, gender, body mass index, comorbidity, preoperative bacteriuria, presence of hydronephrosis, renal stone characteristics, and operative time were not associated with febrile UTI after RIRS.Preoperative pyuria was the only risk factor of infectious complications following RIRS. Therefore, careful management after RIRS is necessary especially when preoperative urinalysis shows pyuria.
Identifiants
pubmed: 33787599
doi: 10.1097/MD.0000000000025182
pii: 00005792-202104020-00034
pmc: PMC8021282
doi:
Types de publication
Evaluation Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e25182Subventions
Organisme : National Research Foundation of Korea
ID : No. 2019R1G1A1100422
Informations de copyright
Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.
Déclaration de conflit d'intérêts
The authors have no conflicts of interest to disclose.
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