岭南现代临床外科2016，Vol.16Issue(5)：601-604,4.DOI:10.3969/j.issn.1009-976X.2016.05.023
无危险因素患者体外碎石后出现感染并发症的前瞻性研究
Prospective investigation of infectious incidence after shock wave lithotripsy in patients without risk factors
李冬霞 1郑浩 1郑小青 1韦胜威1
作者信息
- 1. 519000 广东珠海 中山大学附属第五医院泌尿外科
- 折叠
摘要
Abstract
Objective To investigate the infectious complications of extracorporeal shock wave lithotripsy in patients without associated risk factors. Methods We performed a prospective cohort study between March 2011 and August 2014. The patients who subjected to extracorporeal shock wave lithotripsy and were not found infectious risk factors were included in the study. All patients underwent urine culture three days before the procedure and seven days after lithotripsy. No patient received antibiotics. Results 122 patients with a mean age of 52±10 years met inclusion criteria. A total of nine patients (7.4%) underwent extracorporeal shock wave lithotripsy with a previously placed Double-J stent. After lithotripsy urine culture was positive in seven patients (6.1%), of whom one (0.87%) presented with symptomatic urinary infection and the remaining showed no symptoms. Urosepsis did not develop in any case. The age in the patient was an independent risk factor for bacteriuria afterlithotripsy. Conclusion The incidence of infectious complications after extracorporeal shock wave lithotripsy in patients without risk factors is low. This leads us to conclude that without defined risk factors antibiotic prophylaxis is not justified. Elder patients were more at risk for bacteriuria after extracorporeal shock wave lithotripsy and more at risk developing infectious complications.关键词
肾/输尿管/碎石/抗生素/尿石症Key words
Renal/Ureter/Lithotripsy/Antibiotic/Urolithiasis分类
医药卫生引用本文复制引用
李冬霞,郑浩,郑小青,韦胜威..无危险因素患者体外碎石后出现感染并发症的前瞻性研究[J].岭南现代临床外科,2016,16(5):601-604,4.
