Diagnostic value of intraoperative stone and pelvic urine culture versus preoperative urine culture in the prediction of postoperative systemic inflammatory response syndrome in percutaneous nephrolithotomy: A prospective study in a tertiary hospital.
- Author:
Marc Vincent T. Trinidad
1
;
Joseph Michael Ursua
1
Author Information
- Publication Type:Journal Article
- Keywords: percutaneous nephrolithotomy; post-operative systemic; inflammatory response syndrome
- MeSH: Nephrolithotomy, Percutaneous; Systemic Inflammatory Response Syndrome; Postoperative Period
- From: Philippine Journal of Urology 2020;30(1):37-42
- CountryPhilippines
- Language:English
-
Abstract:
OBJECTIVE:To compare the value of intraoperative stone culture (IOSC) and intraoperative pelvic urine culture (IOPUC) versus pre-operative urine culture (POBUC) in the early detection of systemic inflammatory response syndrome (SIRS) in patients undergoing percutaneous nephrolithotomy (PCNL).
METHODS:This is a prospective clinical study which includes all adult patients undergoing PCNL. All patients who were operated on should have a negative preoperative urine culture (POBUC) results. Intraoperative pelvic urine culture (IOPUC) and stone culture (IOSC) were extracted and results were interpreted if they were contributory in acquiring SIRS post operatively.
RESULTS:The demographics of each patient such as age, sex, having diabetes, laterality, location of calculi had no correlation to the development of SIRS. Patients with positive IOPUC and IOSC results yielded a significant value with odds of having SIRS 4.71 and 13.74, respectively.
CONCLUSION:In the study, all patients underwent PCNL with negative preoperative urine culture findings. Having intraoperative cultures, IOPUC and IOSC, can definitely help predict the occurrence of SIRS and ultimately be one step ahead in the management of these patients to decrease overall morbidity and mortality. - Full text:105-Full Research Text-288-1-10-20200924 (1).pdf
