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Identification of Factors Associated with Postoperative Febrile Urinary Tract Infection After Ureteroscopy for Urinary Stones by Koji Mitsuzuka; Osamu Nakano; Norio Takahashi; Makoto Satoh is a Medicine article available to read on EtoBox.

What is Identification of Factors Associated with Postoperative Febrile Urinary Tract Infection After Ureteroscopy for Urinary Stones about?

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-

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Author

Koji Mitsuzuka; Osamu Nakano; Norio Takahashi; Makoto Satoh

Published

2015

Language

EN

Field

Medicine (Health Sciences)