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Risk factors for urinary infection after retrograde upper urinary lithotripsy: Implication for nursing

There are needs to evaluate the risk factors for urinary infection after retrograde upper urinary lithotripsy, to provide insights into the management and nursing care of patients with retrograde upper urinary lithotripsy. Patients who received retrograde upper urinary lithotripsy with a Foley 20 ur...

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Autores principales: Peng, Chuan, Chen, Zhaozhao, Xu, Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8341329/
https://www.ncbi.nlm.nih.gov/pubmed/34397789
http://dx.doi.org/10.1097/MD.0000000000026172
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author Peng, Chuan
Chen, Zhaozhao
Xu, Jun
author_facet Peng, Chuan
Chen, Zhaozhao
Xu, Jun
author_sort Peng, Chuan
collection PubMed
description There are needs to evaluate the risk factors for urinary infection after retrograde upper urinary lithotripsy, to provide insights into the management and nursing care of patients with retrograde upper urinary lithotripsy. Patients who received retrograde upper urinary lithotripsy with a Foley 20 urinary tube insertion from June 1, 2019 to December 31, 2020 in our hospital were selected. Patients were grouped urinary infection and no infection group according to the culture results of urine, and the clinical data of the 2 groups of patients were collected and compared. Single factor and logistic regression analysis were used to analyze the risk factors of urinary tract infection after retrograde upper urinary lithotripsy. Four hundred ten patients with retrograde upper urinary lithotripsy were included, of whom 62 patients had the urinary tract infection, the incidence of urinary tract infection was 15.12%. There were significant differences in the gender, age, diabetes, stone diameter, duration of urinary tube insertion and duration of surgery between infection and no-infection group (all P < .05). The Escherichia coli (62.90%) was the most commonly seen bacterial in patients with urinary tract infection. Female (odds ratio [OR]: 1.602, 95% confidence interval 95% [CI]: 1.132∼2.472), age >50 years (OR: 2.247, 95% CI: 1.346∼3.244), diabetes (OR: 2.228, 95% CI: 1.033∼3.451), stone diameter ≥2 cm (OR: 2.152, 95% CI: 1.395∼3.099), duration of urinary tube insertion ≥3 days (OR: 1.942, 95% CI:1.158∼2.632), duration of surgery ≥90 minutes (OR: 2.128, 95% CI: 1.104∼3.846) were the independent risk factors for the postoperative urinary tract infection in patients with retrograde upper urinary lithotripsy (all P < .05). The incidence of urinary tract infection in patients undergoing retrograde upper urinary lithotripsy was high, counteractive measures targeted on those risk factors are needed to prevent and reduce the postoperative urinary infection in clinical settings.
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spelling pubmed-83413292021-08-07 Risk factors for urinary infection after retrograde upper urinary lithotripsy: Implication for nursing Peng, Chuan Chen, Zhaozhao Xu, Jun Medicine (Baltimore) 7300 There are needs to evaluate the risk factors for urinary infection after retrograde upper urinary lithotripsy, to provide insights into the management and nursing care of patients with retrograde upper urinary lithotripsy. Patients who received retrograde upper urinary lithotripsy with a Foley 20 urinary tube insertion from June 1, 2019 to December 31, 2020 in our hospital were selected. Patients were grouped urinary infection and no infection group according to the culture results of urine, and the clinical data of the 2 groups of patients were collected and compared. Single factor and logistic regression analysis were used to analyze the risk factors of urinary tract infection after retrograde upper urinary lithotripsy. Four hundred ten patients with retrograde upper urinary lithotripsy were included, of whom 62 patients had the urinary tract infection, the incidence of urinary tract infection was 15.12%. There were significant differences in the gender, age, diabetes, stone diameter, duration of urinary tube insertion and duration of surgery between infection and no-infection group (all P < .05). The Escherichia coli (62.90%) was the most commonly seen bacterial in patients with urinary tract infection. Female (odds ratio [OR]: 1.602, 95% confidence interval 95% [CI]: 1.132∼2.472), age >50 years (OR: 2.247, 95% CI: 1.346∼3.244), diabetes (OR: 2.228, 95% CI: 1.033∼3.451), stone diameter ≥2 cm (OR: 2.152, 95% CI: 1.395∼3.099), duration of urinary tube insertion ≥3 days (OR: 1.942, 95% CI:1.158∼2.632), duration of surgery ≥90 minutes (OR: 2.128, 95% CI: 1.104∼3.846) were the independent risk factors for the postoperative urinary tract infection in patients with retrograde upper urinary lithotripsy (all P < .05). The incidence of urinary tract infection in patients undergoing retrograde upper urinary lithotripsy was high, counteractive measures targeted on those risk factors are needed to prevent and reduce the postoperative urinary infection in clinical settings. Lippincott Williams & Wilkins 2021-08-06 /pmc/articles/PMC8341329/ /pubmed/34397789 http://dx.doi.org/10.1097/MD.0000000000026172 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/)
spellingShingle 7300
Peng, Chuan
Chen, Zhaozhao
Xu, Jun
Risk factors for urinary infection after retrograde upper urinary lithotripsy: Implication for nursing
title Risk factors for urinary infection after retrograde upper urinary lithotripsy: Implication for nursing
title_full Risk factors for urinary infection after retrograde upper urinary lithotripsy: Implication for nursing
title_fullStr Risk factors for urinary infection after retrograde upper urinary lithotripsy: Implication for nursing
title_full_unstemmed Risk factors for urinary infection after retrograde upper urinary lithotripsy: Implication for nursing
title_short Risk factors for urinary infection after retrograde upper urinary lithotripsy: Implication for nursing
title_sort risk factors for urinary infection after retrograde upper urinary lithotripsy: implication for nursing
topic 7300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8341329/
https://www.ncbi.nlm.nih.gov/pubmed/34397789
http://dx.doi.org/10.1097/MD.0000000000026172
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