PMID: 9531141Apr 8, 1998Paper

Incidence of urinary tract infection in patients without bacteriuria undergoing SWL: comparison of stone types

Journal of Endourology
C DinçelA Koşar

Abstract

Extracorporeal shockwave lithotripsy (SWL) currently is accepted as the preferred treatment for most renal and upper ureteral calculi. However, little is known about the infection risks of SWL. In this study, the incidence and severity of urinary tract infection in 117 patients with renal calculi undergoing SWL were evaluated and the stone characteristics of those with and without infection were compared. The patients were followed clinically and bacteriologically 1 and 14 days after the procedure. Bacteriuria was noted in six patients within 24 hours after SWL. No bacteriuria was noted 2 weeks later. Of these patients, three were symptomatic (including dysuria, burning, and fever >38 degrees C). No patient was hospitalized. We found no significant correlation between the occurrence of bacteriuria and the number or size of the stones (P > 0.05), nor was there any correlation between bacteriuria and the stone-free rate or the location of the calculi (P > 0.05). However, there was a significantly higher risk of urinary tract infection in patients with struvite stones than in those with other types of stones (17.3% v 2.1%). In patients with infection stones, prophylactic antimicrobial chemotherapy is necessary even if bacteriuria ...Continue Reading

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Citations

Jan 23, 2010·Journal of Endourology·Gideon LorberAmos Shapiro
Apr 11, 2012·TheScientificWorldJournal·Alessandro D'AddessiPierFrancesco Bassi
Oct 15, 2011·International Journal of Antimicrobial Agents·Magnus Grabe
Apr 22, 2008·European Urology·A M Jikke BootsmaAstrid Goossens
Sep 21, 2007·International Journal of Urology : Official Journal of the Japanese Urological Association·Tetsuro MatsumotoUNKNOWN Japanese Society of UTI Cooperative Study Group (Chairman; Tetsuro Matsumoto)
Feb 17, 2006·European Urology·Andreas SkolarikosJean de la Rosette
Sep 24, 2014·Journal of Chemotherapy·Vincenzo Mirone, Marco Franco
Aug 18, 2016·International Journal of Urology : Official Journal of the Japanese Urological Association·Shingo YamamotoUNKNOWN Japanese Research Group for UTI
Jun 8, 2000·International Journal of Urology : Official Journal of the Japanese Urological Association·K FujitaM Nakano
May 14, 2014·Nature Reviews. Urology·Ryan FlanniganDirk Lange
Dec 24, 2014·Urologia·Salvatore Marco RecuperoEmilio Sacco
May 29, 2014·The Journal of Urology·Alejandra Mira MorenoJuan José Lobato Encinas
Oct 22, 2010·Urological Research·Mustafa Okan IstanbulluogluHakan Ozkardes

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