Diagnosis and treatment of upper urinary tract calculi complicated with dual infection (report of 3 cases)
10.3760/cma.j.cn112330-20220520-00304
- VernacularTitle:上尿路结石合并双重感染的诊疗3例报告
- Author:
Bengen LI
1
;
Han ZHU
;
Cheng LI
;
Zifeng FU
Author Information
1. 遵义医科大学附属医院泌尿外科，遵义 563003
- Keywords:
Urinary calculi;
Dual infection;
Endoscopic surgery
- From:
Chinese Journal of Urology
2023;44(3):228-229
- CountryChina
- Language:Chinese
-
Abstract:
Upper urinary tract calculi combined with dual infections is rare, and the antimicrobial therapy is complicated. This retrospective study analyzed the clinical data of 3 patients with upper urinary tract calculi combined with dual infection who were admitted to our hospital. Three patients were treated with piperacillin sulbactam combined with fluconazole for 1 week, according to the preoperative urine culture and drug sensitivity results. Endoscopic surgery was performed after the efficacy was determined by routine urine examination. After surgery, fluconazole was administered until the removal of the double-J tube for 2 weeks, and fluconazole was discontinued when no white blood cells or fungus were found. No recurrence of stones or infection was observed at a follow-up of 11 months to 2 years. The rational choice of antimicrobial drugs to treat upper urinary tract calculi combined with dual infection could create good conditions for endoscopic surgical intervention, thus achieving satisfactory clinical outcomes.
