Postoperative urinary tract infection after ureteroscopic lithotripsy in patients with asymptomatic bacteriuria
Background/Aim. Postoperative urinary tract infection (UTI) is one of the most common infective complications of ureteroscopic lithotripsy. Preoperative asymptomatic bacteriuria is not a contraindication for performing ureteroscopic lithotripsy but it can be a significant risk factor for occurrence...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2020-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800163J.pdf |
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| author | Jovanović Mirko Šuljagić Vesna Bančević Vladimir |
| author_facet | Jovanović Mirko Šuljagić Vesna Bančević Vladimir |
| author_sort | Jovanović Mirko |
| collection | DOAJ |
| description | Background/Aim. Postoperative urinary tract infection (UTI) is one of the most common infective complications of ureteroscopic lithotripsy. Preoperative asymptomatic bacteriuria is not a contraindication for performing ureteroscopic lithotripsy but it can be a significant risk factor for occurrence of severe forms of postoperative urinary infection. Methods. From January 2010 until December 2014 at the Urology Clinic of the Military Medical Academy in Belgrade, 389 patients undergoing ureteroscopic lithotripsy were analyzed, and their postoperative infective complications were monitored. From the group, the incidence of posteoperative urinary infection was analysed in 52 patients with preoperative asymptomatic bacteriuria. Results. Infective complications occured in 18.7% of patients, and postoperative UTI in 10% of patients. Out of 52 patients with preoperative asymptomatic bacteriuria, 36.5% had postoperative urinary tract infection (χ2 = 46.773; p < 0.001). In these patients, we registered higher frequency of severe forms of postoperative UTI, systemic inflammatory response syndrome (SIRS) and sepsis. Conclusion. Preoperative asymptomatic bacteriuria represents a significant risk factor for developing postoperative UTI following ureteroscopic lithotripsy and is associated with increased risk for occurence of severe forms of SIRS and sepsis. It is desirable that every patient with indicated ureteroscopic lithotripsy has sterile urine culture, and if this is impossible to achieve, a special caution and an adequate antibiotic therapy and prophylaxis are needed before and during the surgical procedure |
| format | Article |
| id | doaj-art-acc4c8d1bdda4e99b14890d431ae6eb0 |
| institution | Kabale University |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-acc4c8d1bdda4e99b14890d431ae6eb02025-08-20T03:38:55ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202020-01-0177991792210.2298/VSP180918163J0042-84501800163JPostoperative urinary tract infection after ureteroscopic lithotripsy in patients with asymptomatic bacteriuriaJovanović Mirko0Šuljagić Vesna1Bančević Vladimir2Military Medical Academy, Urology Clinic, Belgrade, SerbiaMilitary Medical Academy, Department of Infection Control, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaMilitary Medical Academy, Urology Clinic, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaBackground/Aim. Postoperative urinary tract infection (UTI) is one of the most common infective complications of ureteroscopic lithotripsy. Preoperative asymptomatic bacteriuria is not a contraindication for performing ureteroscopic lithotripsy but it can be a significant risk factor for occurrence of severe forms of postoperative urinary infection. Methods. From January 2010 until December 2014 at the Urology Clinic of the Military Medical Academy in Belgrade, 389 patients undergoing ureteroscopic lithotripsy were analyzed, and their postoperative infective complications were monitored. From the group, the incidence of posteoperative urinary infection was analysed in 52 patients with preoperative asymptomatic bacteriuria. Results. Infective complications occured in 18.7% of patients, and postoperative UTI in 10% of patients. Out of 52 patients with preoperative asymptomatic bacteriuria, 36.5% had postoperative urinary tract infection (χ2 = 46.773; p < 0.001). In these patients, we registered higher frequency of severe forms of postoperative UTI, systemic inflammatory response syndrome (SIRS) and sepsis. Conclusion. Preoperative asymptomatic bacteriuria represents a significant risk factor for developing postoperative UTI following ureteroscopic lithotripsy and is associated with increased risk for occurence of severe forms of SIRS and sepsis. It is desirable that every patient with indicated ureteroscopic lithotripsy has sterile urine culture, and if this is impossible to achieve, a special caution and an adequate antibiotic therapy and prophylaxis are needed before and during the surgical procedurehttp://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800163J.pdfbacteriurialithotripsyureteroscopypostoperative complicationsurinary tract infections |
| spellingShingle | Jovanović Mirko Šuljagić Vesna Bančević Vladimir Postoperative urinary tract infection after ureteroscopic lithotripsy in patients with asymptomatic bacteriuria Vojnosanitetski Pregled bacteriuria lithotripsy ureteroscopy postoperative complications urinary tract infections |
| title | Postoperative urinary tract infection after ureteroscopic lithotripsy in patients with asymptomatic bacteriuria |
| title_full | Postoperative urinary tract infection after ureteroscopic lithotripsy in patients with asymptomatic bacteriuria |
| title_fullStr | Postoperative urinary tract infection after ureteroscopic lithotripsy in patients with asymptomatic bacteriuria |
| title_full_unstemmed | Postoperative urinary tract infection after ureteroscopic lithotripsy in patients with asymptomatic bacteriuria |
| title_short | Postoperative urinary tract infection after ureteroscopic lithotripsy in patients with asymptomatic bacteriuria |
| title_sort | postoperative urinary tract infection after ureteroscopic lithotripsy in patients with asymptomatic bacteriuria |
| topic | bacteriuria lithotripsy ureteroscopy postoperative complications urinary tract infections |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800163J.pdf |
| work_keys_str_mv | AT jovanovicmirko postoperativeurinarytractinfectionafterureteroscopiclithotripsyinpatientswithasymptomaticbacteriuria AT suljagicvesna postoperativeurinarytractinfectionafterureteroscopiclithotripsyinpatientswithasymptomaticbacteriuria AT bancevicvladimir postoperativeurinarytractinfectionafterureteroscopiclithotripsyinpatientswithasymptomaticbacteriuria |