准确反映软镜术后并发感染的展望
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v4i2.4998
Abstract
上尿路结石作为泌尿系统最常见的疾病之一,常伴随疼痛、恶心、呕吐、血尿、发热等症状,严重者可伴随着反复的尿路感染和急性尿路梗阻,从而引起肾功能不全、甚至肾衰等不良后果。输尿管软镜手术常作为上尿路结石的治疗手段之一,患者术前必须严格进行术前尿培养检查,根据最新的指南推荐,中段尿培养结果仍为判断泌尿系感染的重要指标,并指导抗菌素的应用,根据我们的临床观察和已有的研究报道,中段尿培养并不能准确反映感染性质[1],所以希望通过我们的研究,找到最能准确反映泌尿系感染性质和种类的标本留取方式,围手术期合理应用抗菌素,最大程度避免发生术后并发尿路感染。
Keywords
上尿路结石；输尿管软镜；尿培养；尿路感染
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[14] Chen D, Jiang C,Liang X,et al.Early and rapid predict ion of postoperative infections following percutaneous nephr olithotomy in patients with complex kidney stones. BJU Int 2019;123:1041-7.
[15] Tang K, Liu H, Jiang K, et al. Predictive value of preo perative inflammatory response biomarkers for metabolic syndrome and post-PCNL systemic inflammatory response synd rome in patients withnephrolithiasis.Oncotarget 2017;8:85612-27.
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[18] Bhanot R,Pietropaolo A,Tokas T,Kallidonis P,Skolarikos A,Keller EX, De Coninck V,Traxer O, Gozen A, Sarica K, Whitehurst L, Somani BK. Predictors and Strategies to Avoid Mortality Following Ureteroscopy for Stone Disease: A Systematic Review from European Association of Urologists Sections of Urolithi asis (EULIS) and Uro-technology (ESUT). Eur Urol Focus. 2021 Mar 3:S2405-4569(21)00057-2.doi:10.1016/j.euf.2021.02.014. Epub ahead of print.PMID:33674255.
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[20] Rivera M,Viers B,Cockerill P,et al.Pre-and Postopera tive Predictors of Infection–Related Complications in Patie nts Undergoing Percutaneous Nephrolithotomy. J Endourol 2016;30:982-6.
[21] Turk C, Petrik A, Sarica K, et al. EAU guidelines on diagnosis and conservative management of urolithiasis. Eur Urol 2016;69:468-74.
[22] 安凌悦,吴伟宙,曾滔,等.经皮肾镜取石术围手术期尿路感染的诊断与治疗[J].临床泌尿外科杂志,2021,36(05):412-414.
[23] Li X, Zhu W, Lam W, Yue Y, Duan H, Zeng G. Outcomes of long-term follow-up of asymptomatic renal stones and prediction of stonerelated events. BJU Int 2019;123:485–92.
[24] Wu W, Yang Z, Tang F, et al. How to accelerate the upper urinary stone discharge after extracorporeal shockwave lithotripsy (ESWL) for<15 mm upper urinary stones:a prospec tive multi-center randomized controlled trial about external physical vibration lithecbole (EPVL). World J Urol 2018;36: 293-8.
[25] Chugh S, Pietropaolo A, Montanari E, Sarica K, Somani BK. Predictors of urinary infections and urosepsis after ureteroscopy for stone disease:asystematic review from EAU Section of Urolithiasis (EULIS).Cur Urol Rep 2020;21:16.
[2] PietropaoloA,Hendry J,Kyriakides R, et al.Outcomes of elective ureteroscopy for ureteric stones in patients with prior urosepsis and emergency drainage: prospective study over 5 yr from a tertiary endourology centre. Eur Urol Focus 2020;6:151-6.
[3] 安凌悦,吴伟宙,曾滔,等.经皮肾镜取石术围手术期尿路感染的诊断与治疗[J].临床泌尿外科杂志,2021,36(05):412-414.
[4] 曾国华,麦赞林,夏术阶,等.中国成年人群尿石症患病率横 断面调查[J].中华泌尿外科杂志,2015,36(7):528－532.
[5] de la Rosette JJMCH, Zuazu JR,Tsakiris P,et al.Prognos tic factors and percutaneous nephrolithotomy morbidity:a multivariate analysis of a contemporary series using the Clav ien classification.J Urol2008;180:2489-93.
[6] 范钧泓,吴文起,朱玮,等.经皮肾镜取石术后全身炎症反应综合征的相关危险因素分析[J].中华泌尿外科杂志,2017,38(4):857-861.
[7] Kelly C, Geraghty RM, Somani BK. Nephrolithiasis in the obese patient.Curr Urol Rep2019;20:36.
[8] Wang YC, McPherson K, Marsh T, Gortmaker SL, Brown M. Health and economic burden of the projected obesity trends in the USA and the UK.Lancet 2011;378:815-25.
[9] De Coninck V, Keller EX, Somani B, et al. Complications of ureteroscopy:a complete overview.World J Urol 2020;38:2147–66.
[10] Whitehurst L, Jones P, Somani BK.Mortality from kidney stone disease (KSD) as reported in the literature over the last two decades:a systematic review. World J Urol 2019; 37:759-76.
[11] Singer M, Deutschman CS, Seymour CW, etal. The third international consensus definitions for sepsis and septic shock Sepsis-3 [J]. JAMA, 2016, 3315:801-810. DOI: 10.1001/Jama. 2016.0287.
[12] Antonelli JA, Maalouf NM, Pearle MS, Lotan Y. Use of the National Health and Nutrition Examination Survey to calculate the impact of obesity and diabetes on cost and prevalence of urolithiasis in 2030. Eur Urol 2014;66:724–9.
[13] Fan J, Wan S, Liu L, et al. Predictors for uroseptic shock in patients who undergo minimally invasive percutaneo us nephrolithotomy. Urolithiasis 2017;45:573-8.
[14] Chen D, Jiang C,Liang X,et al.Early and rapid predict ion of postoperative infections following percutaneous nephr olithotomy in patients with complex kidney stones. BJU Int 2019;123:1041-7.
[15] Tang K, Liu H, Jiang K, et al. Predictive value of preo perative inflammatory response biomarkers for metabolic syndrome and post-PCNL systemic inflammatory response synd rome in patients withnephrolithiasis.Oncotarget 2017;8:85612-27.
[16] Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus definitions for sepsis and septic shock (Sepsis-3). JAMA 2016;315:801-10.
[17] Bonkat G, Cai T, Veeratterapillay R, et al. Management of urosepsis in 2018.Eur Urol Focus2019;5:5-9.
[18] Bhanot R,Pietropaolo A,Tokas T,Kallidonis P,Skolarikos A,Keller EX, De Coninck V,Traxer O, Gozen A, Sarica K, Whitehurst L, Somani BK. Predictors and Strategies to Avoid Mortality Following Ureteroscopy for Stone Disease: A Systematic Review from European Association of Urologists Sections of Urolithi asis (EULIS) and Uro-technology (ESUT). Eur Urol Focus. 2021 Mar 3:S2405-4569(21)00057-2.doi:10.1016/j.euf.2021.02.014. Epub ahead of print.PMID:33674255.
[19] Gutierrez J, Smith A, Geavlete P, et al. Urinary tract infections and post-operative fever in percutaneous nephro lithotomy. World J Urol 2013;31:1135-40.
[20] Rivera M,Viers B,Cockerill P,et al.Pre-and Postopera tive Predictors of Infection–Related Complications in Patie nts Undergoing Percutaneous Nephrolithotomy. J Endourol 2016;30:982-6.
[21] Turk C, Petrik A, Sarica K, et al. EAU guidelines on diagnosis and conservative management of urolithiasis. Eur Urol 2016;69:468-74.
[22] 安凌悦,吴伟宙,曾滔,等.经皮肾镜取石术围手术期尿路感染的诊断与治疗[J].临床泌尿外科杂志,2021,36(05):412-414.
[23] Li X, Zhu W, Lam W, Yue Y, Duan H, Zeng G. Outcomes of long-term follow-up of asymptomatic renal stones and prediction of stonerelated events. BJU Int 2019;123:485–92.
[24] Wu W, Yang Z, Tang F, et al. How to accelerate the upper urinary stone discharge after extracorporeal shockwave lithotripsy (ESWL) for<15 mm upper urinary stones:a prospec tive multi-center randomized controlled trial about external physical vibration lithecbole (EPVL). World J Urol 2018;36: 293-8.
[25] Chugh S, Pietropaolo A, Montanari E, Sarica K, Somani BK. Predictors of urinary infections and urosepsis after ureteroscopy for stone disease:asystematic review from EAU Section of Urolithiasis (EULIS).Cur Urol Rep 2020;21:16.
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