预测尿液培养结果的候选人为lithotripsy的结果
Ofer N Gofrit1, Roey Abudi1, Amitay Lorber1
1Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel; Department of Urology, Hadassah University Hospital, Jerusalem, Israel.
Current urology
|September 11, 2023
概括
在结石手术前预测尿液培养结果现在可以使用随时可用的患者数据来完成. 这使得在低风险病例中能够迅速治疗,避免延迟和等待尿液培养结果的潜在并发症.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
背景情况:
- 泌尿器科的指导方针建议在尿管或结石的手术治疗前进行尿液培养.
- 目前的做法往往会将手术推迟1-3天以获得尿液培养结果,导致患者疼痛和潜在的损伤.
- 这项研究探讨了使用即时入院参数预测尿液培养结果.
研究的目的:
- 为了研究这种假设,即手术前的尿液培养结果可以使用患者入院时可用的参数来预测.
- 确定关键的临床参数,以预测在接受石头外科手术的患者中产生阳性尿液培养.
- 为了使手术决策更快,减少患者等待时间.
主要方法:
- 分析了1000名接受皮肤穿神经切除术 (PCNL) 或尿路透镜/逆行性内手术的患者数据库.
- 11个手术前参数与尿液培养结果的相关性.
- 多变量分析以确定积极尿液培养的显著预测因素.
主要成果:
- 23.4%的患者有阳性尿液培养.
- 性别,水缩等级和先前的瘤切除史与积极的手术前尿液培养有显著的关联.
- 开发了一个预测工具 (表或计算器),根据这些参数显示风险范围从0.45%到85%.
结论:
- 术前阳性尿液培养风险可以使用三个易于获得的参数准确预测.
- 对于低风险患者,可以立即启动手术治疗,而无需等待尿液培养结果.
- 这种预测方法可以简化手术管理并改善患者的治疗结果.
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