Risk factors for urinary infection after retrograde upper urinary lithotripsy: Implication for nursing
Chuan Peng1, Zhaozhao Chen, Jun Xu
1Department of Urology, Wuhan Central Hospital, Wuhan, Hubei, China.
Medicine
|August 16, 2021
Summary
Urinary tract infections are common after retrograde upper urinary lithotripsy. Female gender, older age, diabetes, larger stones, and longer procedures increase infection risk.
Area of Science:
- Urology
- Infectious Diseases
- Surgical Outcomes
Background:
- Postoperative urinary tract infections (UTIs) pose a significant challenge after retrograde upper urinary lithotripsy.
- Effective management and nursing care strategies require a clear understanding of associated risk factors.
Purpose of the Study:
- To identify and analyze the independent risk factors for urinary tract infection following retrograde upper urinary lithotripsy.
- To inform clinical practice and improve patient outcomes by targeting identified risk factors.
Main Methods:
- A retrospective study included 410 patients undergoing retrograde upper urinary lithotripsy with Foley catheter insertion.
- Patients were categorized into UTI and non-UTI groups based on urine culture results.
- Logistic regression analysis was employed to determine independent risk factors.
Main Results:
- The overall incidence of UTI was 15.12% (62/410 patients).
- Independent risk factors identified include female gender, age >50 years, diabetes, stone diameter ≥2 cm, urinary tube insertion duration ≥3 days, and surgery duration ≥90 minutes.
- Escherichia coli was the most common pathogen (62.90%).
Conclusions:
- The incidence of UTI after retrograde upper urinary lithotripsy is substantial.
- Targeted preventive measures focusing on identified risk factors are crucial for reducing postoperative UTIs.
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