Risk Factors Influencing of Urinary Infection and Urosepsis After Ureterorenoscopy in Ureteral calculi and Renal calculi Patients, Chaiyaphum Hospital
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Abstract
Background: Ureterorenoscopy is high efficacy for the management of ureteral and renal calculi. The procedure may be complication such as urinary tract infection, urosepsis, if delayed treatment who have effected on mobility and mortality.
Objective: To study predictive factors associated urinary tract infection and urosepsis in after Ureterorenoscopy of patients with ureteral calculi and renal calculi in Chaiyaphum hospital.
Methods: The retrospective cohort study with 250 the reviewed medical records those patients more than 20 years old who had post URS and between 1st October 2019 to 31th December 2023 and follow-up period 45 days. Group 1 (exposed) were 89 cases and group 2 (nonexposed) 161 cases. The general data were analyzed using descriptive statistics, prognostic factors were used univariate and multivariate analysis Binary logistic regression (p-value<0.05)
Results: Predictive factors associated urinary tract infection were female (Adj OR,3.0, 95%CI, 1.1-8.0), positive pre-operative urine culture (Adj OR, 0.3, 95%CI, 0.1-0.7), operation time (Adj OR, 0.5,95%CI, 0.3-0.9), Predictive factors associated urosepsis were elderly (Adj OR, 3.2, 95%CI, 1.2-8.2), diabetes mellitus (Adj OR, 0.0, 95%CI, 0.0-0.1), history of urinary tract infection and positive pre-operative urine culture (Adj OR, 0.1,95%CI,0.0-0.3) and operation time (Adj OR, 0.4, 95%CI, 0.1-0.9)
Conclusion: Predictive factors associated urinary tract infection were female, positive pre-operative urine culture, operation time. Predictive factors associated urosepsis were age, diabetes mellitus, history of urinary tract infection and positive pre-operative urine culture and operation time. Therefore, identify risk factors and rapid management were reduced mortality.
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References
Faridi MS, Singh KS. Preliminary study of prevalence of urolithiasis in North-Eastern city of India. J Family Med Prim Care 2020;9(12):5939-43. doi: 10.4103/jfmpc.jfmpc_1522_20.
Romero V, Akpinar H, Assimos DG. Kidney stones: a global picture of prevalence, incidence, and associated risk factors. Rev Urol 2010;12(2-3):e86-96. PMID: 20811557
Rule AD, Roger VL, Melton LJ 3rd, Bergstralh EJ, Li X, Peyser PA, Krambeck AE, et al. Kidney stones associate with increased risk for myocardial infarction. J Am Soc Nephrol 2010;21(10):1641-4. doi: 10.1681/ASN.2010030253.
The American Urological Association. Ureteral Stones Clinical Guidelines Panel. Report on The Management of Ureteral Calculi: Clinical Practice Guidelines. [Internet]. [Cited 2023 Jan 18]. Available from:URL:https://www.auanet.org/documents/education/Arc-Ureteral-Stones.pdf.
Kim JW, Lee YJ, Chung JW, Ha YS, Lee JN, Yoo ES, et al. Clinical characteristics of postoperative febrile urinary tract infections after ureteroscopic lithotripsy. Investig Clin Urol 2018;59(5):335-41. doi: 10.4111/icu.2018.59.5.335.
Wang C, Xu R, Zhang Y, Wu Y, Zhang T, Dong X, et al. Nomograms for Predicting the Risk of SIRS and Urosepsis after Uroscopic Minimally Invasive Lithotripsy. Biomed Res Int 2022;2022:6808239. doi: 10.1155/2022/6808239.
กลุ่มงานศัลยกรรม โรงพยาบาลชัยภูมิ. สถิติผู้ใช้บริการ ปี 2562-2566. ชัยภูมิ : กลุ่มงานศัลยกรรม โรงพยาบาลชัยภูมิ ; 2566. (เอกสารอัดสำเนา).
Song JU, Sin CK, Park HK, Shim SR, Lee J. Performance of the quick Sequential (sepsis-related) Organ Failure Assessment score as a prognostic tool in infected patients outside the intensive care unit: a systematic review and meta-analysis. Crit Care 2018;22(1):28. doi: 10.1186/s13054-018-1952-x.
กลุ่มงานอายุรกรรม โรงพยาบาลชัยภูมิ. แนวปฏิบัติการดูแลผู้ป่วยติดเชื้อในกระแสโลหิต. ชัยภูมิ : กลุ่มงานอายุรกรรม ; 2566. (เอกสารอัดสำเนา).
Kelsey JL, Whittemore AS, Evans AS, Thompson WD. Methods in Observational Epidemiology. 2nd.ed. New York : Oxford University Press ; 1996.
Bootsma AM, Laguna Pes MP, Geerlings SE, Goossens A. Antibiotic prophylaxis in urologic procedures: a systematic review. Eur Urol 2008;54(6):1270-86. doi: 10.1016/j.eururo.2008.03.033.
Mrkobrada M, Ying I, Mokrycke S, Dresser G, Elsayed S, Bathini V, et al. CUA Guidelines on antibiotic prophylaxis for urologic procedures. Can Urol Assoc J 2015;9(1-2):13-22. doi: 10.5489/cuaj.2382.
Mitsuzuka K, Nakano O, Takahashi N, Satoh M. Identification of factors associated with postoperative febrile urinary tract infection after ureteroscopy for urinary stones. Urolithiasis 2016;44(3):257-62. doi: 10.1007/s00240-015-0816-y.
Vallée M, Cattoir V, Malavaud S, Sotto A, Cariou G, Arnaud P, et al. Perioperative infectious risk in urology: Management of preoperative polymicrobial urine culture. A systematic review. By the infectious disease Committee of the French Association of urology. Prog Urol 2019;29(5):253-262. doi: 10.1016/j.purol.2019.02.010.
Knopf HJ, Graff HJ, Schulze H. Perioperative antibiotic prophylaxis in ureteroscopic stone removal. Eur Urol 2003;44(1):115-8. doi: 10.1016/s0302-2838(03)00189-1.
Baboudjian M, Gondran-Tellier B, Abdallah R, Sichez PC, Akiki A, Gaillet S, et al. Predictive risk factors of urinary tract infection following flexible ureteroscopy despite preoperative precautions to avoid infectious complications. World J Urol 2020;38(5):1253-9. doi: 10.1007/s00345-019-02891-8.
Martov A, Gravas S, Etemadian M, Unsal A, Barusso G, D'Addessi A, et al. Postoperative infection rates in patients with a negative baseline urine culture undergoing ureteroscopic stone removal: a matched case-control analysis on antibiotic prophylaxis from the CROES URS global study. J Endourol 2015;29(2):171-80. doi: 10.1089/end.2014.0470.
Ma YC, Jian ZY, Yuan C, Li H, Wang KJ. Risk Factors of Infectious Complications after Ureteroscopy: A Systematic Review and Meta-Analysis Based on Adjusted Effect Estimate.
Surg Infect (Larchmt) 2020;21(10):811-22. doi: 10.1089/sur.2020.013.
Sharaf A, Amer T, Somani BK, Aboumarzouk OM. Ureteroscopy in Patients with Bleeding Diatheses, Anticoagulated, and on Anti-Platelet Agents: A Systematic Review and Meta-Analysis of the Literature. J Endourol 2017;31(12):1217-25. doi:10.1089/end.2017.0253.
Sohn DW, Kim SW, Hong CG, Yoon BI, Ha US, Cho YH. Risk factors of infectious complication after ureteroscopic procedures of the upper urinary tract. J Infect Chemother 2013;19(6):1102-8. doi: 10.1007/s10156-013-0632-7.
Martov A, Gravas S, Etemadian M, Unsal A, Barusso G, D'Addessi A, et al. Postoperative infection rates in patients with a negative baseline urine culture undergoing ureteroscopic stone removal: a matched case-control analysis on antibiotic prophylaxis from the CROES URS global study. J Endourol 2015;29(2):171-80. doi: 10.1089/end.2014.0470.
Knopf HJ, Graff HJ, Schulze H. Perioperative antibiotic prophylaxis in ureteroscopic stone removal. Eur Urol 2003;44(1):115-8. doi: 10.1016/s0302-2838(03)00189-1.
