尿路结石手术后尿路感染风险因素的回顾性分析
Yunjiang Zheng1, Qianyi Chen1, Lei Cao1
1Department of Critical Care Medicine, Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences, 202150 Shanghai, China.
Archivos espanoles de urologia
|August 6, 2024
概括
这项研究确定了尿道结石手术后尿道感染 (UTI) 的关键风险因素. 较大的石块大小,糖尿病和积极的手术前尿液培养显著增加了尿路感染的风险,在接受尿路透镜性石.
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:
- 尿道结石 (尿道中的结石) 是全世界常见的泌尿病状况.
- 尿路透镜石手术是主要的治疗方法,但术后尿路感染 (UTI) 是一个重大问题.
- 确定尿路检查后尿路感染的特定风险因素对于患者管理至关重要.
研究的目的:
- 为了分析与术后尿路感染相关的特定风险因素,在尿路石手术后.
- 评估已识别的术后尿路感染风险因素的预测价值.
主要方法:
- 一项涉及145名在2021年1月至2023年1月期间接受尿路透镜石术的患者的病例控制研究.
- 用二进制逻辑回归分析来确定术后尿道感染的危险因素.
- 用接收器操作特征 (ROC) 曲线和曲线下的面积 (AUC) 来评估预测准确性.
主要成果:
- 40名患者在手术后出现了尿路感染.
- 尿路感染病例和对照组之间的显著差异包括石块大小,糖尿病史和手术前尿液培养结果 (p < 0.05).
- 尿路感染的独立风险因素是石块大小 (OR=1.952),糖尿病 (OR=2.438) 和手术前尿液培养 (OR=2.914). 综合的AUC是0.756.6的时间.
结论:
- 石块大小,糖尿病病史和手术前尿液培养是尿路石手术后术后尿路感染的重要独立风险因素.
- 这些因素对于诊断和潜在地预防接受此程序的患者的尿路感染很重要.
- 这些发现强调了基于这些已识别的风险因素进行有针对性的干预的必要性.
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