Predicting the risk of sepsis and causative organisms following urinary stones removal using urinary versus stone and stent cultures

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Authors: Amihay Nevo, Dor Golomb, David Lifshitz, Dafna Yahav

Publication date: 2019/7

Journal: European Journal of Clinical Microbiology & Infectious Diseases

Volume: 38

Issue: 7

Pages: 1313-1318

Publisher: Springer Berlin Heidelberg

Description:

The association between foreign objects in the urinary system and urinary tract infections (UTI) is well established. The incidence of bacteriuria in patient with urinary catheters increases as dwelling time lengthens. The presence of ureteral stents and kidney stones is also associated with increased risk for bacteriuria and urinary tract infection. The aim of this study was to assess the bacterial characteristics of urine culture (UC) and foreign body culture (FBC), the concordance between them, and to identify risk factors for postoperative infections, in order to improve the treatment in these patients, using a prospectively collected database of patients who underwent ureteroscopy or percutaneous nephrolithotomy (PCNL) for the treatment of urinary stones between 2005 and 2016 at our institute. Preoperative UC was obtained from voided mid-stream urine for all patients. FBCs were obtained from ureteral stents …

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