Risk factors for infection following percutaneous nephrolithotomy
10.3969/j.issn.1671-9638.2015.01.008
- VernacularTitle:经皮肾镜碎石取石术后并发感染危险因素
- Author:
Lu LU
;
Xiaoshun LI
;
Liping HE
;
Ming LIN
- Publication Type:Journal Article
- Keywords:
renal calculus;
percutaneous nephrolithotomy;
urology department;
complication;
risk factor;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2015;(1):35-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors for infection following percutaneous nephrolithotomy(PCNL), and provide the basis for prevention of postoperative infection.Methods 96 patients who were performed PCNL in a hospital between August 2010 and August 2013 were chosen,clinical data of patients were retrospectively analyzed, the occurrence of postoperative infection,risk factors and isolated pathogens were analyzed.Results 35 patients (36.46%[35/96])developed infection following PCNL.Univariate analysis revealed that risk factors for postopera-tive infection were the size and shape of stone,duration of operation,and intraoperative perfusion (all P <0.05). 96 patients before operation and 18 patients after operation were performed bacterial culture for urine,a total of 39 strains were isolated,the main isolated pathogens was Escherichia coli (n=12),followed by Pseudomonas aerugi-nosa (n=8),Streptococcus viridans (n =5 ),Klebsiella pneumoniae (n =4)and Enterobacter cloacae (n =3 ). Conclusion Infection rate following PCNL is high,duration of operation and intraoperative perfusion should be re-duced,antimicrobial agents should be used rationally.
