Identification of factors associated with postoperative febrile urinary tract infection after ureteroscopy for urinary stones

Urolithiasis
Koji MitsuzukaMakoto Satoh

Abstract

The aim of this study was to elucidate risk factors associated with postoperative febrile UTI after URS for urinary stones. Data from 153 patients undergoing URS for renal and/or ureteral stones between 2011 and 2013 at a single center were reviewed to detect factors predicting postoperative febrile UTI. URS for residual stones was excluded. Postoperative febrile UTI was defined as body temperature >38 °C and was graded according to the Clavien grading system. The definition of pyuria was 10 or more white blood cells per high power field. Median age of the patients was 57 (range 17-89) years. Of the 153 patients, 98 (64.1 %) were male, 10 (6.5 %) had Eastern Cooperative Oncology Group performance status 2 or greater, 14 (9.2 %) had Charlson comorbidity index 3 or greater. Before URS, 69 (45.1 %) had pyuria, 27 (17.6 %) had acute pyelonephritis, 42 (27.5 %) had ureteral stent, and 50 (32.7 %) were treated with antibiotics. After URS, 28 (18.3 %) developed febrile UTI (Clavien grade I, n = 16; grade II, n = 10; grade III, n = 1; grade IV, n = 1). Preoperative pyuria and acute pyelonephritis were significant factors for postoperative febrile UTI (pyuria: odds ratio 3.62, 95 % CI 1.26-8.11, P value 0.017; pyelonephritis: odds ratio...Continue Reading

References

Mar 22, 2006·Journal of Endourology·Petrişor GeavleteVictor Cauni
Nov 29, 2007·Journal of Endourology·Ronald A RubensteinRobert B Nadler
Jan 21, 2009·The Journal of Urology·Ahmed R El-NahasHamdy A El-Kappany
Oct 20, 2009·The Journal of Urology·John M ShieldsOrlando Gómez-Marín
Jun 21, 2013·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Dong Wan SohnYong-Hyun Cho
Nov 12, 2014·World Journal of Urology·M OzsoyC Seitz

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Citations

Feb 2, 2017·BJU International·Amihay NevoDavid A Lifshitz
Nov 22, 2019·World Journal of Urology·Vincent De ConinckOlivier Traxer
Oct 1, 2020·The Journal of International Medical Research·Hua ZhangHouping Mao
Sep 6, 2018·Investigative and Clinical Urology·Jin Woo KimBum Soo Kim
Feb 6, 2017·World Journal of Urology·Daniel A WollinGlenn M Preminger
Nov 4, 2020·BMC Urology·Adam ColeUNKNOWN Michigan Urological Surgery Improvement Collaborative
Apr 6, 2021·International Journal of Clinical Practice·Mehmet Çağlar ÇakıcıGökhan Atış
Apr 10, 2019·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·M ValléeF Bruyère
Jun 23, 2021·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·E BeyF Bruyère
Aug 27, 2021·Frontiers in Surgery·Johnathan A KhusidMantu Gupta

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