Risk factors for systemic inflammatory response syndrome after percutaneous nephrolithotomy

TÜRK H., Un S., Isoglu C. S., Samlioglu P., Suelozgen T., Yoldas M.

Kuwait Medical Journal, cilt.52, sa.1, ss.17-22, 2020 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 52 Sayı: 1
  • Basım Tarihi: 2020
  • Dergi Adı: Kuwait Medical Journal
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE
  • Sayfa Sayıları: ss.17-22
  • Anahtar Kelimeler: percutaneous nephrolithotomy, postoperative sepsis, renal stone, urine culture
  • Uşak Üniversitesi Adresli: Evet

Özet

Objective: To evaluate the correlation between preoperative midstream urine culture, pelvic urine culture and stone culture findings during percutaneous nephrolithotomy (PCN) Design: Retrospective study Setting: Department of Urology, College of Medicine, Dumlupınar University, Turkey Subjects: The data of all the patients who underwent PCN at our institution between September 2015-December 2017 who were managed in the department of Urology at Dumlupınar University medical hospital Intervention: Medical records of all the patients were reviewed and the data were collected retrospectively. Main outcome measures: The preoperative parameters included any previous history of urinary tract information, complete blood workup, and noncontrast helical computed tomography. A preoperative midstream urine culture (MSUC) was obtained for all patients. Results: A total of 248 consecutive patients were retrospectively recruited into the study. There were 36 (14.5%) patients in the Systemic Inflammatory Response Syndrome (SIRS) group (I) and 212 (85.5%) patients in the non-SIRS group (II). None of the patients in either group developed clinical septic shock and all patients recovered without sequelae. The factors affecting SIRS in multivariate analysis, namely BMI, post-operative residue and plasmacytoid urothelial carcinoma (PUC) were statistically significant. Conclusion: We have shown that MSUC is a poor predictor of upper tract colonization. Intraoperative PUC is an important factor for detecting post-PCN SIRS risk.