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Urological infections after endourological procedures

Authors :
Bhaskar K Somani
Robert Geraghty
Source :
Surgery (Oxford). 39:742-747
Publication Year :
2021
Publisher :
Elsevier BV, 2021.

Abstract

In the past two decades, endourological procedures such as ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL) have become the mainstay of managing kidney stone disease (KSD), with URS also used for investigating upper urinary tract lesions. Post-endourological infections affect between 1% and 6% of cases. Numerous risk factors have been identified, including longer operative times and indwelling ureteric stents, but the literature is largely heterogeneous. Identification of risk factors preoperatively include the use of pre-operative urine culture, minimizing stent dwell time and targeted antibiotic use. Intraoperatively, efforts need to be made in minimizing operative times and intra-renal pressures. Although rare, urinary tract infections following endourological procedures remain a risk, with a smaller minority developing potentially deadly urosepsis. Clinical decisions on prevention and treatment of severe sepsis have to be individualized based on the risk factors. Machine learning techniques are currently being utilized to build these tools and might provide an answer in the future.

Details

ISSN :
02639319
Volume :
39
Database :
OpenAIRE
Journal :
Surgery (Oxford)
Accession number :
edsair.doi...........e4dc61628d6389ff5a3cb946ce4cf025