Flexible ureteroscopic lithotripsy is safe and efficient for renal stone less than 2cm with persistent urinary tract infection

2017 ◽  
Vol 16 (7) ◽  
pp. e2493
Author(s):  
J. Da ◽  
M. Xu ◽  
Y. Wang ◽  
Y. Shao ◽  
G. Dong ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Renal Stone ◽  
Ureteroscopic Lithotripsy

scholarly journals Nontypable Haemophilus influenzae Septicemia and Urinary Tract Infection Associated with Renal Stone Disease

2018 ◽  
Vol 12 (1) ◽  
pp. 243-247
Author(s):  
Marianne Stærk ◽  
Sara A. Tolouee ◽  
Jens J. Christensen
Keyword(s):  
Urinary Tract Infection ◽  
Antibiotic Resistance ◽  
Urinary Tract ◽  
Tract Infection ◽  
Haemophilus Influenzae ◽  
Renal Stone ◽  
Stone Disease ◽  
Upper Respiratory Tract ◽  
Renal Stone Disease ◽  
Tract Infections

Introduction: Haemophilus influenzae commonly causes upper respiratory tract infections and has only rarely been reported etiology of urinary tract infections. Since the introduction of the Haemophilus influenzae b (Hib) vaccine, non-typable haemophilus species now cause the majority of invasive disease in Europe. Case Report: We report a case of an adult man with non-typable Haemophilus influenzae septicemia, urinary tract infection and bilateral renal stone disease. The patient presented with right sided flank pain and a CT scan showed bilateral renal stones and a right sided ureteral stone causing obstruction. Results and Discussion: Haemophilus influenzae was identified in blood and urine and despite a tendency of increasing antibiotic resistance among Haemophilus influenzae, our strain was susceptible to all antibiotics tested. Treatment consisted of 3 days of intravenous cefuroxime, insertion of a right sided JJ ureteric stent and 5 days of peroral ciprofloxacin after discharge. Physicians and microbiologists should be aware of Haemophilus influenzae as a possible urinary tract pathogen, especially when urinary tract abnormalities are present, and take the risk of antibiotic resistance into consideration at initial treatment.

scholarly journals Unexpected Septic Shock after Ureteroscopic Lithotripsy in a Patient Preoperatively Treated for a Urinary Tract Infection

2016 ◽  
Vol 11 (2) ◽  
pp. 66
Author(s):  
Jong Wook Kim ◽  
Hyoung Kook Jeong ◽  
Jong Jin Park ◽  
Ji Yun Chae ◽  
Hong Seok Park ◽  
...  
Keyword(s):  
Septic Shock ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Ureteroscopic Lithotripsy

scholarly journals Possible risk factors for postoperative urinary tract infection following ureteroscopic lithotripsy

2020 ◽  
Vol 77 (11) ◽  
pp. 1135-1141
Author(s):  
Mirko Jovanovic ◽  
Vladimir Bancevic ◽  
Branko Kosevic ◽  
Predrag Aleksic ◽  
Vesna Suljagic
Keyword(s):  
Risk Factors ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Operating Time ◽  
Percutaneous Nephrostomy ◽  
Ureteroscopic Lithotripsy ◽  
Patients With Diabetes ◽  
Infection Risk Factors ◽  
Jj Stent

Background/Aim. Ureteroscopic lithotripsy is today a safe method of endoscopic destruction of stone in the kidney and ureter with a small number of complications of which the most common is postoperative urinary tract infection. Risk factors for the occurrence of urinary tract infection after the ureteroscopic destruction of stones in the ureter and kidney are not clearly defined in the previous studies. Methods. The study included 389 patients with ureteroscopic lithotripsy and possible risk factors were analyzed: age of the patients, sex, diabetes presence, degree of hydronephrosis, stone size, stone localization, wear of ureteral JJ stent and percutaneous nephrostomy catheter, type of surgical procedure and duration of the operation. The frequency of postoperative urinary tract infection was statistically analyzed in relation to the possible risk factors. Results. Ten percent of the patients had postoperative urinary tract infection. The higher incidence of postoperative urinary tract infection was found in patients with diabetes (?2 = 22.918; p < 0.001), those who before surgery carried a ureteral JJ stent (?2 = 4.620; p = 0.040) and percutaneous nephrostomy catheter (?2 = 8.240; p = 0.004), who had a larger stone (?2 = -3.301; p = 0.001), and whose surgery lasted longer (t = 4.261; p < 0.001). Conclusion. The frequency of postoperative urinary infection and risk factors for its emergence in our study are in line with the results of studies by other authors. Patients with diabetes, who preoperatively carried JJ stent or a percutaneous nephrostomy catheter, who had large stones and in which the operating time is longer have a greater risk of developing postoperative urinary tract infection. Accordingly, the importance of identifying these patients in the preparation for ureteroscopic lithotripsy contributes to the appropriate preoperative preparation and decreases the frequency of postoperative urinary tract infection to a minimum.

Stone Analysis and Urinary Tract Infection in Renal Stone Patients

1985 ◽  
pp. 399-402 ◽  
Author(s):  
K. Holmgren ◽  
B. Fellström ◽  
B. G. Danielson ◽  
S. Ljunghall ◽  
F. Niklasson
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Renal Stone ◽  
Stone Analysis

scholarly journals Postoperative urinary tract infection after ureteroscopic lithotripsy in patients with asymptomatic bacteriuria

2020 ◽  
Vol 77 (9) ◽  
pp. 917-922
Author(s):  
Mirko Jovanovic ◽  
Vesna Suljagic ◽  
Vladimir Bancevic
Keyword(s):  
Urinary Tract Infection ◽  
Risk Factor ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Infection ◽  
Asymptomatic Bacteriuria ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Ureteroscopic Lithotripsy ◽  
Infective Complications

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 (?2 = 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

scholarly journals Risk factors of pediatric urinary tract infections: an epidemiologic study

2018 ◽  
Vol 6 (1) ◽  
pp. 204
Author(s):  
Maryam Esteghamati ◽  
Seyedeh Elaheh Mousavi ◽  
Shervin Haj Alizadeh
Keyword(s):  
Risk Factors ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Family History ◽  
Tract Infection ◽  
Neurogenic Bladder ◽  
Significant Relationship ◽  
Renal Stone ◽  
Urinary Catheterization ◽  
History Of

Background: Urinary tract infection (UTI) is the second most prevalent pediatric infection, and if it is not recognized and treated properly, it can cause severe irreversible complications such as renal failure and hypertension. In this research, some of the risk factors of UTIs were compared in children with urinary tract infections.Methods: This is a cross-sectional study, with the urinary tract infection as the dependent variable and gender, circumcision status, history of urinary catheterization, family history, history of renal stone, hypercalciuria, constipation history, reflux, neurogenic bladder, phimosis, posterior urethral valves (PUV), ureteropelvic junction obstruction (UPJO), and ureterovesical junction obstruction (UVJO) as the independent variables. A total of 405 children were studied in this research. The data was collected using questionnaires, checklists, and examinations. Data analysis was also carried out using descriptive and analytical statistics method in SPSS.Results: This research revealed the prevalence of urinary tract infection among children with several risk factors, and the common factors were positive family history, history of urinary catheterization, constipation, and other non-anatomical disorders (history of renal stone and hypercalciuria. The most common risk factors regardless of gender and age were non-anatomic disorders that were observed in 147 cases (43.7%) (p-value<0.001). Among the non-anatomical factors, constipation was the most common factor observed in 66 cases (16.3%). A higher rate of urinary infection was observed in the uncircumcised male patients than the circumcised patients, and there was a significant relationship between circumcision and UTI.Conclusions: In this study, urinary tract infection staged a significant relationship with gender, circumcision status, urinary catheterization history, family history, renal stone history, hypercalciuria, history of constipation, reflux, neurogenic bladder, phimosis, PUV, UPJO, and UVJO.

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