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Risk factors of febrile urinary tract infections following retrograde intrarenal surgery for renal stones
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 includ...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8021282/ https://www.ncbi.nlm.nih.gov/pubmed/33787599 http://dx.doi.org/10.1097/MD.0000000000025182 |
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author | Kim, Dong Soo Yoo, Koo Han Jeon, Seung Hyun Lee, Sang Hyub |
author_facet | Kim, Dong Soo Yoo, Koo Han Jeon, Seung Hyun Lee, Sang Hyub |
author_sort | Kim, Dong Soo |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8021282 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-80212822021-04-07 Risk factors of febrile urinary tract infections following retrograde intrarenal surgery for renal stones Kim, Dong Soo Yoo, Koo Han Jeon, Seung Hyun Lee, Sang Hyub Medicine (Baltimore) 7300 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. Lippincott Williams & Wilkins 2021-04-02 /pmc/articles/PMC8021282/ /pubmed/33787599 http://dx.doi.org/10.1097/MD.0000000000025182 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 |
spellingShingle | 7300 Kim, Dong Soo Yoo, Koo Han Jeon, Seung Hyun Lee, Sang Hyub Risk factors of febrile urinary tract infections following retrograde intrarenal surgery for renal stones |
title | Risk factors of febrile urinary tract infections following retrograde intrarenal surgery for renal stones |
title_full | Risk factors of febrile urinary tract infections following retrograde intrarenal surgery for renal stones |
title_fullStr | Risk factors of febrile urinary tract infections following retrograde intrarenal surgery for renal stones |
title_full_unstemmed | Risk factors of febrile urinary tract infections following retrograde intrarenal surgery for renal stones |
title_short | Risk factors of febrile urinary tract infections following retrograde intrarenal surgery for renal stones |
title_sort | risk factors of febrile urinary tract infections following retrograde intrarenal surgery for renal stones |
topic | 7300 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8021282/ https://www.ncbi.nlm.nih.gov/pubmed/33787599 http://dx.doi.org/10.1097/MD.0000000000025182 |
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