Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?

Tufan SÜELÖZGEN, (University of Health Sciences, Tepecik Training and Research Hospital, Clinic of Urology, İzmir, Turkey)
Cemal Selçuk İŞOĞLU, (Hakkari State Hospital, Clinic of Urology)
Hayal BOYACIOĞLU, (Ege University Faculty of Science, Department of Statistics, İzmir, Turkiye)
Yusuf Özlem İLBEY (University of Health Sciences, Tepecik Training and Research Hospital, Clinic of Urology, İzmir, Turkey)
Journal of Urological Surgery
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Yıl: 2018 Cilt: 5 Sayı: 2 Sayfa Aralığı: 78 - 82 Metin Dili: İngilizce DOI: 10.4274/jus.1908 İndeks Tarihi: 05-09-2019

Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?

Öz:
Objective: Our aim in this study to determine whether positive urine culture is a risk factor for infectious complications in patients undergoing percutaneous nephrolithotomy (PNL). Materials and Methods: A total of 958 patients, who underwent PNL in our clinic between 2008 and 2015, were included in the study. The patients were divided into two groups with respect to preoperative urine culture results. Group 1 included 126 patients with nonsterile urine culture. As the control group, 130 patients were randomly selected among patients with preoperative negative urine culture and named as group 2. The groups were compared in terms of demographic data, postoperative complications and additional interventions. Results: The mean age was 51.4±1.05 years in group 1 was and 48.7±1.08 years in group 2. On postoperative 1st month computed tomography, postoperative residual stone fragments were observed in 27 patients (21%) in group 1 and 26 patients (20%) in group 2. The groups were similar in terms of treatment success (p=0.878). No significant difference was found between the groups in terms of postoperative fever (p=0.46), sepsis development and intensive care need (p=0.733). Conclusion: PNL would not increase infectious complications in patients with positive urine culture
Anahtar Kelime:

Konular: Üroloji ve Nefroloji Cerrahi

İdrar Kültürü Pozitif Hastalarda Perkütan Nefrolitotomi: Komplikasyonlarda Artış Var mı?

Öz:
Amaç: Bu çalışmada amacımız, PNL olan hastalarda pozitif idrar kültürünün enfeksiyöz komplikasyonlar açısından risk faktörü olup olmadığını araştırmaktır. Gereç ve Yöntem: 2008-2015 yılları arasında kliniğimizde PNL olan 958 hasta çalışmaya dahil edildi. Preoperatif idrar kültürü sonuçlarına göre hastalar iki gruba ayrıldı. Kültüründe üreme saptanan 126 hasta grup 1 olarak adlandırıldı. Kontrol grubu olarak 130 hasta idrar kültürü steril hastalar arasından rastgele seçildi. İki grup demografik veriler, postoperatif komplikasyonlar ve ek girişim gerekliliği açısından karşılaştırıldı. Bulgular: Grup 1’deki hastaların yaş ortalaması 51,4±1,05, grup 2’deki hastaların yaş ortalaması ise 48,7±1,08 yıldı. Postoperatif 1. ayda istenen bilgisayarlı tomografide grup 1’de 27 hastada (%21), grup 2’de ise 26 hastada (%20) rezidü taş saptandı. Operasyon başarısı açısından iki grup benzerdi (p=0,878). Yine gruplar arasında Postoperatif ateş (p=0,46), sepsis gelişimi ve yoğun bakım ihtiyacı açısından fark izlenmedi (p=0,46). Sonuç: Pozitif idrar kültürü olup da antibiyotik alırken yapılan PNL enfeksiyöz komplikasyonları artırmamaktadır.
Anahtar Kelime:

Konular: Üroloji ve Nefroloji Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA suelozgen t, Isoglu C, BOYACIOĞLU H, ilbey y (2018). Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?. , 78 - 82. 10.4274/jus.1908
Chicago suelozgen tufan,Isoglu Cemal Selcuk,BOYACIOĞLU Hayal,ilbey yusuf özlem Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?. (2018): 78 - 82. 10.4274/jus.1908
MLA suelozgen tufan,Isoglu Cemal Selcuk,BOYACIOĞLU Hayal,ilbey yusuf özlem Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?. , 2018, ss.78 - 82. 10.4274/jus.1908
AMA suelozgen t,Isoglu C,BOYACIOĞLU H,ilbey y Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?. . 2018; 78 - 82. 10.4274/jus.1908
Vancouver suelozgen t,Isoglu C,BOYACIOĞLU H,ilbey y Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?. . 2018; 78 - 82. 10.4274/jus.1908
IEEE suelozgen t,Isoglu C,BOYACIOĞLU H,ilbey y "Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?." , ss.78 - 82, 2018. 10.4274/jus.1908
ISNAD suelozgen, tufan vd. "Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?". (2018), 78-82. https://doi.org/10.4274/jus.1908
APA suelozgen t, Isoglu C, BOYACIOĞLU H, ilbey y (2018). Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?. Journal of Urological Surgery, 5(2), 78 - 82. 10.4274/jus.1908
Chicago suelozgen tufan,Isoglu Cemal Selcuk,BOYACIOĞLU Hayal,ilbey yusuf özlem Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?. Journal of Urological Surgery 5, no.2 (2018): 78 - 82. 10.4274/jus.1908
MLA suelozgen tufan,Isoglu Cemal Selcuk,BOYACIOĞLU Hayal,ilbey yusuf özlem Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?. Journal of Urological Surgery, vol.5, no.2, 2018, ss.78 - 82. 10.4274/jus.1908
AMA suelozgen t,Isoglu C,BOYACIOĞLU H,ilbey y Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?. Journal of Urological Surgery. 2018; 5(2): 78 - 82. 10.4274/jus.1908
Vancouver suelozgen t,Isoglu C,BOYACIOĞLU H,ilbey y Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?. Journal of Urological Surgery. 2018; 5(2): 78 - 82. 10.4274/jus.1908
IEEE suelozgen t,Isoglu C,BOYACIOĞLU H,ilbey y "Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?." Journal of Urological Surgery, 5, ss.78 - 82, 2018. 10.4274/jus.1908
ISNAD suelozgen, tufan vd. "Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?". Journal of Urological Surgery 5/2 (2018), 78-82. https://doi.org/10.4274/jus.1908
Sayfa Oluşturulma Tarihi
23-04-2024 8:38

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