Cargando…
Factors predicting infectious complications following percutaneous nephrolithotomy
OBJECTIVE: To determine the predictors of infectious complications following percutaneous nephrolithotomy (PCNL) in a prospective study. MATERIALS AND METHODS: A total of 332 patients with renal or upper ureteric calculi who underwent PCNL between January 2013 and June 2014 were included in the stud...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5100148/ https://www.ncbi.nlm.nih.gov/pubmed/28057987 http://dx.doi.org/10.4103/0974-7796.192105 |
_version_ | 1782466080321568768 |
---|---|
author | Sharma, Kuldeep Sankhwar, Satya Narayan Goel, Apul Singh, Vishwajeet Sharma, Pradeep Garg, Yogesh |
author_facet | Sharma, Kuldeep Sankhwar, Satya Narayan Goel, Apul Singh, Vishwajeet Sharma, Pradeep Garg, Yogesh |
author_sort | Sharma, Kuldeep |
collection | PubMed |
description | OBJECTIVE: To determine the predictors of infectious complications following percutaneous nephrolithotomy (PCNL) in a prospective study. MATERIALS AND METHODS: A total of 332 patients with renal or upper ureteric calculi who underwent PCNL between January 2013 and June 2014 were included in the study. Infectious complications included febrile urinary tract infection and septicemia. The patients were divided into Group A and B depending on whether they developed or did not develop infectious complications. Patient, stone, renal, and procedure-related factors were compared between the two groups. RESULTS: There was no significant (P > 0.05) correlation among age (37.03 ± 16.24 vs. 36.72 ± 14.88), sex, and body mass index (21.00 ± 1.77 vs. 21.03 ± 2.25) between Group A and B. The patients in Group A were found to have significantly higher incidence of renal failure (39.5% vs. 9.2%,P= 0.0001), diabetes mellitus (12 [31.5%] vs. 33 [11.2%],P= 0.0001), previous percutaneous nephrostomy (PCN) tube placement (11 [28%] vs. 21 [7.1%]P= 0.0001), moderate to severe hydronephrosis (HDN), larger stone surface area (812.68 ± 402.07 vs. 564.92 ± 361.32,P= 0.0001), mean number of punctures (1.57 ± 0.50 vs. 1.20 ± 0.47,P= 0.002), and mean duration of surgery (94.28 ± 18.23 vs. 69.12 ± 21.23,P= 0.0001) than Group B. CONCLUSION: Post-PCNL infectious complications were found to be more common in patients with renal failure, diabetes mellitus, preoperative PCN placement, staghorn calculi, severe HDN, multiple punctures, and prolonged duration of surgery. |
format | Online Article Text |
id | pubmed-5100148 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-51001482017-01-05 Factors predicting infectious complications following percutaneous nephrolithotomy Sharma, Kuldeep Sankhwar, Satya Narayan Goel, Apul Singh, Vishwajeet Sharma, Pradeep Garg, Yogesh Urol Ann Original Article OBJECTIVE: To determine the predictors of infectious complications following percutaneous nephrolithotomy (PCNL) in a prospective study. MATERIALS AND METHODS: A total of 332 patients with renal or upper ureteric calculi who underwent PCNL between January 2013 and June 2014 were included in the study. Infectious complications included febrile urinary tract infection and septicemia. The patients were divided into Group A and B depending on whether they developed or did not develop infectious complications. Patient, stone, renal, and procedure-related factors were compared between the two groups. RESULTS: There was no significant (P > 0.05) correlation among age (37.03 ± 16.24 vs. 36.72 ± 14.88), sex, and body mass index (21.00 ± 1.77 vs. 21.03 ± 2.25) between Group A and B. The patients in Group A were found to have significantly higher incidence of renal failure (39.5% vs. 9.2%,P= 0.0001), diabetes mellitus (12 [31.5%] vs. 33 [11.2%],P= 0.0001), previous percutaneous nephrostomy (PCN) tube placement (11 [28%] vs. 21 [7.1%]P= 0.0001), moderate to severe hydronephrosis (HDN), larger stone surface area (812.68 ± 402.07 vs. 564.92 ± 361.32,P= 0.0001), mean number of punctures (1.57 ± 0.50 vs. 1.20 ± 0.47,P= 0.002), and mean duration of surgery (94.28 ± 18.23 vs. 69.12 ± 21.23,P= 0.0001) than Group B. CONCLUSION: Post-PCNL infectious complications were found to be more common in patients with renal failure, diabetes mellitus, preoperative PCN placement, staghorn calculi, severe HDN, multiple punctures, and prolonged duration of surgery. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC5100148/ /pubmed/28057987 http://dx.doi.org/10.4103/0974-7796.192105 Text en Copyright: © Urology Annals http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Sharma, Kuldeep Sankhwar, Satya Narayan Goel, Apul Singh, Vishwajeet Sharma, Pradeep Garg, Yogesh Factors predicting infectious complications following percutaneous nephrolithotomy |
title | Factors predicting infectious complications following percutaneous nephrolithotomy |
title_full | Factors predicting infectious complications following percutaneous nephrolithotomy |
title_fullStr | Factors predicting infectious complications following percutaneous nephrolithotomy |
title_full_unstemmed | Factors predicting infectious complications following percutaneous nephrolithotomy |
title_short | Factors predicting infectious complications following percutaneous nephrolithotomy |
title_sort | factors predicting infectious complications following percutaneous nephrolithotomy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5100148/ https://www.ncbi.nlm.nih.gov/pubmed/28057987 http://dx.doi.org/10.4103/0974-7796.192105 |
work_keys_str_mv | AT sharmakuldeep factorspredictinginfectiouscomplicationsfollowingpercutaneousnephrolithotomy AT sankhwarsatyanarayan factorspredictinginfectiouscomplicationsfollowingpercutaneousnephrolithotomy AT goelapul factorspredictinginfectiouscomplicationsfollowingpercutaneousnephrolithotomy AT singhvishwajeet factorspredictinginfectiouscomplicationsfollowingpercutaneousnephrolithotomy AT sharmapradeep factorspredictinginfectiouscomplicationsfollowingpercutaneousnephrolithotomy AT gargyogesh factorspredictinginfectiouscomplicationsfollowingpercutaneousnephrolithotomy |