结石病尿路镜检查后早期感染性并发症的危险因素:一项前性研究
Brecht Devos1, Wies Vanderbruggen1, Marc Claessens2
1Faculty of Medicine, University Hospitals Leuven, Louvain, Belgium.
World journal of urology
|May 1, 2024
概括
这项研究发现,对于结石的尿路镜检查后,感染性并发症的发生率为7.3%. 高龄是这些并发症的重要风险因素,强调需要仔细选择和管理患者.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 外科手术的结果
背景情况:
- 尿道透镜 (URS) 是治疗尿病的一种常见手术.
- 传染性并发症可以发生在URS后,需要评估其发病率和危险因素.
研究的目的:
- 为了前性地评估尿路结石病的尿路镜检查后早期传染性并发症的发生率.
- 为了确定与这些术后感染相关的术后风险因素.
主要方法:
- 一项前性,单中心研究包括400名接受尿尿管镜检查的患者.
- 传染性并发症是根据特定的标准定义的,包括发烧,炎症和病原体识别.
- 用单变量和多变量逻辑回归分析来确定风险因素.
主要成果:
- 在30天内感染并发症的总比率为7.3% (29/400名患者).
- 在1.5%的患者中发生了尿液消毒.
- 老年被确定为术后感染并发症的重要危险因素 (OR 1.035,p=0.02).
结论:
- 治疗性尿路尿镜与7.3%的传染性并发症率有关,包括1.5%的泌尿失调率.
- 高龄是发展这些并发症的重要危险因素.
- 需要更多的多中心数据来证实这些发现.
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