Sepsis urinaria tras tratamiento endourológico de la litiasis por ureterorrenoscopia

Pérez, David Díaz; García, I. Gómez; Guerrero, Clara Sánchez; Alcalde, Á. Fernández; Hernández, Mercedes Ruíz; Burgos, Javier; Álvaro, J. Lorca; Ruiz, G. Duque; Fúnez, F. Arias; Revilla, F.J. Burgos

doi:10.1016/j.acuro.2019.02.001

Cited by 7 publications

(4 citation statements)

References 24 publications

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“…Another study recorded a significantly higher rate of post-operative sepsis after percutaneous nephrolithotomy (PCNL) in women (OR 7.8, p = 0.001) [33]. Overall, all the studies determined female gender to be a risk factor for developing sepsis post-stone surgery [32][33][34][35][36][37][38].…”

Section: Post-intervention Sepsismentioning

confidence: 96%

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Gender Differences in Kidney Stone Disease (KSD): Findings from a Systematic Review

et al. 2021

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Purpose of Review The prevalence of kidney stones is rising and historically carries a preponderance for males. However, recent evidence has questioned whether this gender gap is closing. The aim of this systematic review was to examine this further as well as evaluate possible underlying causes. Recent Findings Recent evidence confirms the disparity in kidney stone disease between genders is closing. In the modern era, the rise in prevalence among females has been greater, especially in adolescence. Quality of life is also more adversely affected by kidney stone events among females who are also more likely to develop sepsis after endourological surgery. Males, however, are more likely to present with stone events during periods of high ambient temperatures Summary Recent literature demonstrates a temporal change in the disease burden of KSD among men and women. The latter, especially adolescent females, are more likely to develop KSD in their lifetime compared to previous eras. Determining causation is complex and continued research is warranted.

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Section: Post-intervention Sepsismentioning

confidence: 96%

“…Sepsis is the leading cause of KSD-related mortality [31]. Seven studies were identified, which investigated sepsis post-KSD intervention [32][33][34][35][36][37][38]. It has previously been demonstrated that women have higher sepsis rates after ureteroscopy (URS) than men [39].…”

Section: Post-intervention Sepsismentioning

confidence: 99%

Gender Differences in Kidney Stone Disease (KSD): Findings from a Systematic Review

et al. 2021

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“…Infections after surgery lead to morbidity and increase health costs 1–3 . The rate of infection associated with endourological procedures is reported between 1.8% and 18.3% 4,5 . With the introduction of prophylactic antibiotics, the rate of urinary infection decreases from 21% to 1–5% and also the incidence of bacteremia from 2% to 1.3% 6–8 …”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] The rate of infection associated with endourological procedures is reported between 1.8% and 18.3%. 4,5 With the introduction of prophylactic antibiotics, the rate of urinary infection decreases from 21% to 1-5% and also the incidence of bacteremia from 2% to 1.3%. [6][7][8] The main bacteria associated with postoperative infections in urologic surgery are Enterobacteriaceae, Pseudomonas aeruginosa and Enterococcus.…”

mentioning

confidence: 99%

Antibiotic prophylaxis in flexible ureterorenoscopy with negative urine culture

Méndez‐Guerrero,

Buitrago‐Carrascal,

Puentes‐Bernal

et al. 2023

BJUI Compass

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ObjectiveTo improve susceptibility profiles of nosocomial bacteria, identifying the difference between infectious complications in patients undergoing endoscopic flexible ureterolithotomy (fURS) with negative urine culture (UC) that received extended antibiotic prophylaxis (EP) compared with standard antibiotic prophylaxis (SP).MethodologyThis is a retrospective, observational, analytical cohort study, comparing infectious complications between patients undergoing fURS with negative UC who received EP versus SP. We include patients with susccessfull fURS, <20‐mm stones and complete information.ResultsOverall, 10.3% of patients had complications, 7.2% of patients had postoperative urinary infection, 1.8% had upper urinary tract infection (UTI) and 1.4% had urinary sepsis. Lower UTI were significantly more likely in the extended prophylaxis group with 6.8% versus 2.7% (RR = 2.8; 95% CI: 1.10–7.37, p = 0.030). The risk of upper UTI and sepsis did not show significant differences. A total of 69% patients with postoperative infection had isolated multidrug‐resistant bacteria (MDRB) in the UC, with a higher risk in patients with extended prophylaxis (RR = 3.1; 95% CI: 1.33–7.59, p = 0.009).ConclusionsPatients with negative UC who underwent fURS using extended prophylaxis have two times higher risk of low UTI than patients with standard prophylaxis, without differences in the incidence of upper UTI or urinary sepsis. The risk of MDRB isolation in the postoperative UC is higher in the extended prophylaxis group, therefore we recommend the standard 60‐min preoperative prophylaxis.

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Risk of Sepsis in Retrograde Intrarenal Surgery: A Systematic Review of the Literature

Corrales

Sierra

Doizi

et al. 2022

European Urology Open Science

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Sepsis urinaria tras tratamiento endourológico de la litiasis por ureterorrenoscopia

Cited by 7 publications

References 24 publications

Gender Differences in Kidney Stone Disease (KSD): Findings from a Systematic Review

Gender Differences in Kidney Stone Disease (KSD): Findings from a Systematic Review

Antibiotic prophylaxis in flexible ureterorenoscopy with negative urine culture

Risk of Sepsis in Retrograde Intrarenal Surgery: A Systematic Review of the Literature

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