Does preoperative urine culture still play a role in predicting post-PCNL SIRS? A retrospective cohort study

Abstract There is controversy regarding the predicting value of preoperative urine culture for post-percutaneous nephrolithotripsy (PCNL) infection. The purpose of our study was to re-evaluate the importance of preoperative urine culture for developing post-PCNL systemic inflammatory response syndro...
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Autor*in:	Liu, Jingchao [verfasserIn] Zhou, Changkuo [verfasserIn] Gao, Wenjun [verfasserIn] Huang, Huangwei [verfasserIn] Jiang, Xianzhou [verfasserIn] Zhang, Dongqing [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	Percutaneous nephrolithotomy Urine culture Infection Systemic inflammatory response syndrome

Übergeordnetes Werk:	Enthalten in: Urological research - Berlin : Springer, 1973, 48(2019), 3 vom: 19. Juli, Seite 251-256
Übergeordnetes Werk:	volume:48 ; year:2019 ; number:3 ; day:19 ; month:07 ; pages:251-256

Links:	Volltext

DOI / URN:	10.1007/s00240-019-01148-8

Katalog-ID:	SPR039708675

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520			\|a Abstract There is controversy regarding the predicting value of preoperative urine culture for post-percutaneous nephrolithotripsy (PCNL) infection. The purpose of our study was to re-evaluate the importance of preoperative urine culture for developing post-PCNL systemic inflammatory response syndrome (SIRS) in China. A total of 303 patients undergone PCNL from March 2012 to January 2018 were recruited. Urine tests, urine cultures and the perioperative data were prospectively recorded and analyzed. 95 patients (31.4%) were identified with positive preoperative urine cultures. Female patients had significantly higher rate of urine cultures positivity than that in male patients (42.9% vs. 21.5%, p < 0.01). Escherichia coli was the most common organism (56 cases, 58.9%) in patients with positive urine cultures and 35.7% of E. coli-positive patients developed SIRS after PCNL. Even with intensive perioperative prophylaxis, patients with positive urine cultures had a higher rate of post-PCNL SIRS than those patients with negative urine cultures (p = 0.043). On multivariable analysis, preoperative positive urine cultures (OR 1.943, 95% CI 1.11–3.39, p = 0.019), preoperative neutrophils (OR 1.228, 95% CI 1.07–1.41, p = 0.003), intraoperative pyonephrosis (OR 3.37, 95% CI 1.44–9.71, p = 0.01) and postoperative hospitalization (OR 1.154, 95% CI 1.05–1.28, p = 0.005) were independent risk factors for postoperative SIRS. These results demonstrated that preoperative urine culture still played a role in predicting post-PCNL SIRS, but it was unable to prevent the occurrence of SIRS even with intensive perioperative prophylaxis based on urine culture results. Further studies are required to explore the predicting role of advanced preoperative bacterial detecting techniques in post-PCNL infectious complications.
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allfields	10.1007/s00240-019-01148-8 doi (DE-627)SPR039708675 (SPR)s00240-019-01148-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.88 bkl Liu, Jingchao verfasserin aut Does preoperative urine culture still play a role in predicting post-PCNL SIRS? A retrospective cohort study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract There is controversy regarding the predicting value of preoperative urine culture for post-percutaneous nephrolithotripsy (PCNL) infection. The purpose of our study was to re-evaluate the importance of preoperative urine culture for developing post-PCNL systemic inflammatory response syndrome (SIRS) in China. A total of 303 patients undergone PCNL from March 2012 to January 2018 were recruited. Urine tests, urine cultures and the perioperative data were prospectively recorded and analyzed. 95 patients (31.4%) were identified with positive preoperative urine cultures. Female patients had significantly higher rate of urine cultures positivity than that in male patients (42.9% vs. 21.5%, p < 0.01). Escherichia coli was the most common organism (56 cases, 58.9%) in patients with positive urine cultures and 35.7% of E. coli-positive patients developed SIRS after PCNL. Even with intensive perioperative prophylaxis, patients with positive urine cultures had a higher rate of post-PCNL SIRS than those patients with negative urine cultures (p = 0.043). On multivariable analysis, preoperative positive urine cultures (OR 1.943, 95% CI 1.11–3.39, p = 0.019), preoperative neutrophils (OR 1.228, 95% CI 1.07–1.41, p = 0.003), intraoperative pyonephrosis (OR 3.37, 95% CI 1.44–9.71, p = 0.01) and postoperative hospitalization (OR 1.154, 95% CI 1.05–1.28, p = 0.005) were independent risk factors for postoperative SIRS. These results demonstrated that preoperative urine culture still played a role in predicting post-PCNL SIRS, but it was unable to prevent the occurrence of SIRS even with intensive perioperative prophylaxis based on urine culture results. Further studies are required to explore the predicting role of advanced preoperative bacterial detecting techniques in post-PCNL infectious complications. Percutaneous nephrolithotomy (dpeaa)DE-He213 Urine culture (dpeaa)DE-He213 Infection (dpeaa)DE-He213 Systemic inflammatory response syndrome (dpeaa)DE-He213 Zhou, Changkuo verfasserin aut Gao, Wenjun verfasserin aut Huang, Huangwei verfasserin aut Jiang, Xianzhou verfasserin aut Zhang, Dongqing verfasserin aut Enthalten in Urological research Berlin : Springer, 1973 48(2019), 3 vom: 19. Juli, Seite 251-256 (DE-627)254236901 (DE-600)1461962-3 1434-0879 nnns volume:48 year:2019 number:3 day:19 month:07 pages:251-256 https://dx.doi.org/10.1007/s00240-019-01148-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2057 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2119 GBV_ILN_2129 44.88 ASE AR 48 2019 3 19 07 251-256
spelling	10.1007/s00240-019-01148-8 doi (DE-627)SPR039708675 (SPR)s00240-019-01148-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.88 bkl Liu, Jingchao verfasserin aut Does preoperative urine culture still play a role in predicting post-PCNL SIRS? A retrospective cohort study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract There is controversy regarding the predicting value of preoperative urine culture for post-percutaneous nephrolithotripsy (PCNL) infection. The purpose of our study was to re-evaluate the importance of preoperative urine culture for developing post-PCNL systemic inflammatory response syndrome (SIRS) in China. A total of 303 patients undergone PCNL from March 2012 to January 2018 were recruited. Urine tests, urine cultures and the perioperative data were prospectively recorded and analyzed. 95 patients (31.4%) were identified with positive preoperative urine cultures. Female patients had significantly higher rate of urine cultures positivity than that in male patients (42.9% vs. 21.5%, p < 0.01). Escherichia coli was the most common organism (56 cases, 58.9%) in patients with positive urine cultures and 35.7% of E. coli-positive patients developed SIRS after PCNL. Even with intensive perioperative prophylaxis, patients with positive urine cultures had a higher rate of post-PCNL SIRS than those patients with negative urine cultures (p = 0.043). On multivariable analysis, preoperative positive urine cultures (OR 1.943, 95% CI 1.11–3.39, p = 0.019), preoperative neutrophils (OR 1.228, 95% CI 1.07–1.41, p = 0.003), intraoperative pyonephrosis (OR 3.37, 95% CI 1.44–9.71, p = 0.01) and postoperative hospitalization (OR 1.154, 95% CI 1.05–1.28, p = 0.005) were independent risk factors for postoperative SIRS. These results demonstrated that preoperative urine culture still played a role in predicting post-PCNL SIRS, but it was unable to prevent the occurrence of SIRS even with intensive perioperative prophylaxis based on urine culture results. Further studies are required to explore the predicting role of advanced preoperative bacterial detecting techniques in post-PCNL infectious complications. Percutaneous nephrolithotomy (dpeaa)DE-He213 Urine culture (dpeaa)DE-He213 Infection (dpeaa)DE-He213 Systemic inflammatory response syndrome (dpeaa)DE-He213 Zhou, Changkuo verfasserin aut Gao, Wenjun verfasserin aut Huang, Huangwei verfasserin aut Jiang, Xianzhou verfasserin aut Zhang, Dongqing verfasserin aut Enthalten in Urological research Berlin : Springer, 1973 48(2019), 3 vom: 19. Juli, Seite 251-256 (DE-627)254236901 (DE-600)1461962-3 1434-0879 nnns volume:48 year:2019 number:3 day:19 month:07 pages:251-256 https://dx.doi.org/10.1007/s00240-019-01148-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2057 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2119 GBV_ILN_2129 44.88 ASE AR 48 2019 3 19 07 251-256
allfields_unstemmed	10.1007/s00240-019-01148-8 doi (DE-627)SPR039708675 (SPR)s00240-019-01148-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.88 bkl Liu, Jingchao verfasserin aut Does preoperative urine culture still play a role in predicting post-PCNL SIRS? A retrospective cohort study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract There is controversy regarding the predicting value of preoperative urine culture for post-percutaneous nephrolithotripsy (PCNL) infection. The purpose of our study was to re-evaluate the importance of preoperative urine culture for developing post-PCNL systemic inflammatory response syndrome (SIRS) in China. A total of 303 patients undergone PCNL from March 2012 to January 2018 were recruited. Urine tests, urine cultures and the perioperative data were prospectively recorded and analyzed. 95 patients (31.4%) were identified with positive preoperative urine cultures. Female patients had significantly higher rate of urine cultures positivity than that in male patients (42.9% vs. 21.5%, p < 0.01). Escherichia coli was the most common organism (56 cases, 58.9%) in patients with positive urine cultures and 35.7% of E. coli-positive patients developed SIRS after PCNL. Even with intensive perioperative prophylaxis, patients with positive urine cultures had a higher rate of post-PCNL SIRS than those patients with negative urine cultures (p = 0.043). On multivariable analysis, preoperative positive urine cultures (OR 1.943, 95% CI 1.11–3.39, p = 0.019), preoperative neutrophils (OR 1.228, 95% CI 1.07–1.41, p = 0.003), intraoperative pyonephrosis (OR 3.37, 95% CI 1.44–9.71, p = 0.01) and postoperative hospitalization (OR 1.154, 95% CI 1.05–1.28, p = 0.005) were independent risk factors for postoperative SIRS. These results demonstrated that preoperative urine culture still played a role in predicting post-PCNL SIRS, but it was unable to prevent the occurrence of SIRS even with intensive perioperative prophylaxis based on urine culture results. Further studies are required to explore the predicting role of advanced preoperative bacterial detecting techniques in post-PCNL infectious complications. Percutaneous nephrolithotomy (dpeaa)DE-He213 Urine culture (dpeaa)DE-He213 Infection (dpeaa)DE-He213 Systemic inflammatory response syndrome (dpeaa)DE-He213 Zhou, Changkuo verfasserin aut Gao, Wenjun verfasserin aut Huang, Huangwei verfasserin aut Jiang, Xianzhou verfasserin aut Zhang, Dongqing verfasserin aut Enthalten in Urological research Berlin : Springer, 1973 48(2019), 3 vom: 19. Juli, Seite 251-256 (DE-627)254236901 (DE-600)1461962-3 1434-0879 nnns volume:48 year:2019 number:3 day:19 month:07 pages:251-256 https://dx.doi.org/10.1007/s00240-019-01148-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2057 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2119 GBV_ILN_2129 44.88 ASE AR 48 2019 3 19 07 251-256
allfieldsGer	10.1007/s00240-019-01148-8 doi (DE-627)SPR039708675 (SPR)s00240-019-01148-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.88 bkl Liu, Jingchao verfasserin aut Does preoperative urine culture still play a role in predicting post-PCNL SIRS? A retrospective cohort study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract There is controversy regarding the predicting value of preoperative urine culture for post-percutaneous nephrolithotripsy (PCNL) infection. The purpose of our study was to re-evaluate the importance of preoperative urine culture for developing post-PCNL systemic inflammatory response syndrome (SIRS) in China. A total of 303 patients undergone PCNL from March 2012 to January 2018 were recruited. Urine tests, urine cultures and the perioperative data were prospectively recorded and analyzed. 95 patients (31.4%) were identified with positive preoperative urine cultures. Female patients had significantly higher rate of urine cultures positivity than that in male patients (42.9% vs. 21.5%, p < 0.01). Escherichia coli was the most common organism (56 cases, 58.9%) in patients with positive urine cultures and 35.7% of E. coli-positive patients developed SIRS after PCNL. Even with intensive perioperative prophylaxis, patients with positive urine cultures had a higher rate of post-PCNL SIRS than those patients with negative urine cultures (p = 0.043). On multivariable analysis, preoperative positive urine cultures (OR 1.943, 95% CI 1.11–3.39, p = 0.019), preoperative neutrophils (OR 1.228, 95% CI 1.07–1.41, p = 0.003), intraoperative pyonephrosis (OR 3.37, 95% CI 1.44–9.71, p = 0.01) and postoperative hospitalization (OR 1.154, 95% CI 1.05–1.28, p = 0.005) were independent risk factors for postoperative SIRS. These results demonstrated that preoperative urine culture still played a role in predicting post-PCNL SIRS, but it was unable to prevent the occurrence of SIRS even with intensive perioperative prophylaxis based on urine culture results. Further studies are required to explore the predicting role of advanced preoperative bacterial detecting techniques in post-PCNL infectious complications. Percutaneous nephrolithotomy (dpeaa)DE-He213 Urine culture (dpeaa)DE-He213 Infection (dpeaa)DE-He213 Systemic inflammatory response syndrome (dpeaa)DE-He213 Zhou, Changkuo verfasserin aut Gao, Wenjun verfasserin aut Huang, Huangwei verfasserin aut Jiang, Xianzhou verfasserin aut Zhang, Dongqing verfasserin aut Enthalten in Urological research Berlin : Springer, 1973 48(2019), 3 vom: 19. Juli, Seite 251-256 (DE-627)254236901 (DE-600)1461962-3 1434-0879 nnns volume:48 year:2019 number:3 day:19 month:07 pages:251-256 https://dx.doi.org/10.1007/s00240-019-01148-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2057 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2119 GBV_ILN_2129 44.88 ASE AR 48 2019 3 19 07 251-256
allfieldsSound	10.1007/s00240-019-01148-8 doi (DE-627)SPR039708675 (SPR)s00240-019-01148-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.88 bkl Liu, Jingchao verfasserin aut Does preoperative urine culture still play a role in predicting post-PCNL SIRS? A retrospective cohort study 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract There is controversy regarding the predicting value of preoperative urine culture for post-percutaneous nephrolithotripsy (PCNL) infection. The purpose of our study was to re-evaluate the importance of preoperative urine culture for developing post-PCNL systemic inflammatory response syndrome (SIRS) in China. A total of 303 patients undergone PCNL from March 2012 to January 2018 were recruited. Urine tests, urine cultures and the perioperative data were prospectively recorded and analyzed. 95 patients (31.4%) were identified with positive preoperative urine cultures. Female patients had significantly higher rate of urine cultures positivity than that in male patients (42.9% vs. 21.5%, p < 0.01). Escherichia coli was the most common organism (56 cases, 58.9%) in patients with positive urine cultures and 35.7% of E. coli-positive patients developed SIRS after PCNL. Even with intensive perioperative prophylaxis, patients with positive urine cultures had a higher rate of post-PCNL SIRS than those patients with negative urine cultures (p = 0.043). On multivariable analysis, preoperative positive urine cultures (OR 1.943, 95% CI 1.11–3.39, p = 0.019), preoperative neutrophils (OR 1.228, 95% CI 1.07–1.41, p = 0.003), intraoperative pyonephrosis (OR 3.37, 95% CI 1.44–9.71, p = 0.01) and postoperative hospitalization (OR 1.154, 95% CI 1.05–1.28, p = 0.005) were independent risk factors for postoperative SIRS. These results demonstrated that preoperative urine culture still played a role in predicting post-PCNL SIRS, but it was unable to prevent the occurrence of SIRS even with intensive perioperative prophylaxis based on urine culture results. Further studies are required to explore the predicting role of advanced preoperative bacterial detecting techniques in post-PCNL infectious complications. Percutaneous nephrolithotomy (dpeaa)DE-He213 Urine culture (dpeaa)DE-He213 Infection (dpeaa)DE-He213 Systemic inflammatory response syndrome (dpeaa)DE-He213 Zhou, Changkuo verfasserin aut Gao, Wenjun verfasserin aut Huang, Huangwei verfasserin aut Jiang, Xianzhou verfasserin aut Zhang, Dongqing verfasserin aut Enthalten in Urological research Berlin : Springer, 1973 48(2019), 3 vom: 19. Juli, Seite 251-256 (DE-627)254236901 (DE-600)1461962-3 1434-0879 nnns volume:48 year:2019 number:3 day:19 month:07 pages:251-256 https://dx.doi.org/10.1007/s00240-019-01148-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2057 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2119 GBV_ILN_2129 44.88 ASE AR 48 2019 3 19 07 251-256
language	English
source	Enthalten in Urological research 48(2019), 3 vom: 19. Juli, Seite 251-256 volume:48 year:2019 number:3 day:19 month:07 pages:251-256
sourceStr	Enthalten in Urological research 48(2019), 3 vom: 19. Juli, Seite 251-256 volume:48 year:2019 number:3 day:19 month:07 pages:251-256
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Percutaneous nephrolithotomy Urine culture Infection Systemic inflammatory response syndrome
dewey-raw	610
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container_title	Urological research
authorswithroles_txt_mv	Liu, Jingchao @@aut@@ Zhou, Changkuo @@aut@@ Gao, Wenjun @@aut@@ Huang, Huangwei @@aut@@ Jiang, Xianzhou @@aut@@ Zhang, Dongqing @@aut@@
publishDateDaySort_date	2019-07-19T00:00:00Z
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author	Liu, Jingchao
spellingShingle	Liu, Jingchao ddc 610 bkl 44.88 misc Percutaneous nephrolithotomy misc Urine culture misc Infection misc Systemic inflammatory response syndrome Does preoperative urine culture still play a role in predicting post-PCNL SIRS? A retrospective cohort study
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topic_title	610 ASE 44.88 bkl Does preoperative urine culture still play a role in predicting post-PCNL SIRS? A retrospective cohort study Percutaneous nephrolithotomy (dpeaa)DE-He213 Urine culture (dpeaa)DE-He213 Infection (dpeaa)DE-He213 Systemic inflammatory response syndrome (dpeaa)DE-He213
topic	ddc 610 bkl 44.88 misc Percutaneous nephrolithotomy misc Urine culture misc Infection misc Systemic inflammatory response syndrome
topic_unstemmed	ddc 610 bkl 44.88 misc Percutaneous nephrolithotomy misc Urine culture misc Infection misc Systemic inflammatory response syndrome
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title	Does preoperative urine culture still play a role in predicting post-PCNL SIRS? A retrospective cohort study
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title_full	Does preoperative urine culture still play a role in predicting post-PCNL SIRS? A retrospective cohort study
author_sort	Liu, Jingchao
journal	Urological research
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author_browse	Liu, Jingchao Zhou, Changkuo Gao, Wenjun Huang, Huangwei Jiang, Xianzhou Zhang, Dongqing
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title_sort	does preoperative urine culture still play a role in predicting post-pcnl sirs? a retrospective cohort study
title_auth	Does preoperative urine culture still play a role in predicting post-PCNL SIRS? A retrospective cohort study
abstract	Abstract There is controversy regarding the predicting value of preoperative urine culture for post-percutaneous nephrolithotripsy (PCNL) infection. The purpose of our study was to re-evaluate the importance of preoperative urine culture for developing post-PCNL systemic inflammatory response syndrome (SIRS) in China. A total of 303 patients undergone PCNL from March 2012 to January 2018 were recruited. Urine tests, urine cultures and the perioperative data were prospectively recorded and analyzed. 95 patients (31.4%) were identified with positive preoperative urine cultures. Female patients had significantly higher rate of urine cultures positivity than that in male patients (42.9% vs. 21.5%, p < 0.01). Escherichia coli was the most common organism (56 cases, 58.9%) in patients with positive urine cultures and 35.7% of E. coli-positive patients developed SIRS after PCNL. Even with intensive perioperative prophylaxis, patients with positive urine cultures had a higher rate of post-PCNL SIRS than those patients with negative urine cultures (p = 0.043). On multivariable analysis, preoperative positive urine cultures (OR 1.943, 95% CI 1.11–3.39, p = 0.019), preoperative neutrophils (OR 1.228, 95% CI 1.07–1.41, p = 0.003), intraoperative pyonephrosis (OR 3.37, 95% CI 1.44–9.71, p = 0.01) and postoperative hospitalization (OR 1.154, 95% CI 1.05–1.28, p = 0.005) were independent risk factors for postoperative SIRS. These results demonstrated that preoperative urine culture still played a role in predicting post-PCNL SIRS, but it was unable to prevent the occurrence of SIRS even with intensive perioperative prophylaxis based on urine culture results. Further studies are required to explore the predicting role of advanced preoperative bacterial detecting techniques in post-PCNL infectious complications.
abstractGer	Abstract There is controversy regarding the predicting value of preoperative urine culture for post-percutaneous nephrolithotripsy (PCNL) infection. The purpose of our study was to re-evaluate the importance of preoperative urine culture for developing post-PCNL systemic inflammatory response syndrome (SIRS) in China. A total of 303 patients undergone PCNL from March 2012 to January 2018 were recruited. Urine tests, urine cultures and the perioperative data were prospectively recorded and analyzed. 95 patients (31.4%) were identified with positive preoperative urine cultures. Female patients had significantly higher rate of urine cultures positivity than that in male patients (42.9% vs. 21.5%, p < 0.01). Escherichia coli was the most common organism (56 cases, 58.9%) in patients with positive urine cultures and 35.7% of E. coli-positive patients developed SIRS after PCNL. Even with intensive perioperative prophylaxis, patients with positive urine cultures had a higher rate of post-PCNL SIRS than those patients with negative urine cultures (p = 0.043). On multivariable analysis, preoperative positive urine cultures (OR 1.943, 95% CI 1.11–3.39, p = 0.019), preoperative neutrophils (OR 1.228, 95% CI 1.07–1.41, p = 0.003), intraoperative pyonephrosis (OR 3.37, 95% CI 1.44–9.71, p = 0.01) and postoperative hospitalization (OR 1.154, 95% CI 1.05–1.28, p = 0.005) were independent risk factors for postoperative SIRS. These results demonstrated that preoperative urine culture still played a role in predicting post-PCNL SIRS, but it was unable to prevent the occurrence of SIRS even with intensive perioperative prophylaxis based on urine culture results. Further studies are required to explore the predicting role of advanced preoperative bacterial detecting techniques in post-PCNL infectious complications.
abstract_unstemmed	Abstract There is controversy regarding the predicting value of preoperative urine culture for post-percutaneous nephrolithotripsy (PCNL) infection. The purpose of our study was to re-evaluate the importance of preoperative urine culture for developing post-PCNL systemic inflammatory response syndrome (SIRS) in China. A total of 303 patients undergone PCNL from March 2012 to January 2018 were recruited. Urine tests, urine cultures and the perioperative data were prospectively recorded and analyzed. 95 patients (31.4%) were identified with positive preoperative urine cultures. Female patients had significantly higher rate of urine cultures positivity than that in male patients (42.9% vs. 21.5%, p < 0.01). Escherichia coli was the most common organism (56 cases, 58.9%) in patients with positive urine cultures and 35.7% of E. coli-positive patients developed SIRS after PCNL. Even with intensive perioperative prophylaxis, patients with positive urine cultures had a higher rate of post-PCNL SIRS than those patients with negative urine cultures (p = 0.043). On multivariable analysis, preoperative positive urine cultures (OR 1.943, 95% CI 1.11–3.39, p = 0.019), preoperative neutrophils (OR 1.228, 95% CI 1.07–1.41, p = 0.003), intraoperative pyonephrosis (OR 3.37, 95% CI 1.44–9.71, p = 0.01) and postoperative hospitalization (OR 1.154, 95% CI 1.05–1.28, p = 0.005) were independent risk factors for postoperative SIRS. These results demonstrated that preoperative urine culture still played a role in predicting post-PCNL SIRS, but it was unable to prevent the occurrence of SIRS even with intensive perioperative prophylaxis based on urine culture results. Further studies are required to explore the predicting role of advanced preoperative bacterial detecting techniques in post-PCNL infectious complications.
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title_short	Does preoperative urine culture still play a role in predicting post-PCNL SIRS? A retrospective cohort study
url	https://dx.doi.org/10.1007/s00240-019-01148-8
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author2	Zhou, Changkuo Gao, Wenjun Huang, Huangwei Jiang, Xianzhou Zhang, Dongqing
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