Treatment of urosepsis induced by extracorporeal shock wave lithotripsy: analysis of 4 cases.
- Author:
Huan QI
1
;
Chao LUO
;
Chengshan LIU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Female; Humans; Lithotripsy; adverse effects; Male; Middle Aged; Retrospective Studies; Sepsis; etiology; therapy; Ureteral Calculi; therapy; Urinary Tract Infections; etiology; therapy
- From: Journal of Southern Medical University 2012;32(10):1523-1524
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the strategy for management of urosepsis after extracorporeal shock wave lithotripsy (ESWL).
METHODSThe clinical data were analyzed in 4 cases of urosepsis caused by ESWL during the period from January, 2008 to October 2011.
RESULTSTwo of the patients had kidney stones and two had ureteral stones. Analysis of urine bacterial culture revealed the presence of E. coli in 2 cases, Klebsiella pneumoniae in 1 case and Pseudomonas putida combined E. coli in 1 case. All the 4 patients were monitored for ECG, blood pressure and oxygen saturation, and received fluid replacement and anti-inflammatory therapy. The vital signs of the patients became stable after 5-11 days (mean 6.75 days). Three patients underwent ureteroscopic lithotripsy, and 1 patient had emergency ureteral stent indwelling. All the 4 patients were cured and discharged.
CONCLUSIONESWL is more likely to cause urosepsis in patients with ureteral stones and urinary infection, for which early nonsurgical interventions should be administered immediately after the diagnosis is established.
