柔性输尿管镜患者术前尿培养与术中肾盂培养的比较

IF 0.1 Q4 UROLOGY & NEPHROLOGY
F. Gökalp, Ömer Koraş, S. Polat, M. Şahan, A. Eker, D. Baba, I. Bozkurt
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引用次数: 0

摘要

建议在任何类型的结石手术前进行尿液培养。尿液培养物通常从膀胱收集,即使膀胱尿液培养物呈阴性,也可能发生感染性并发症。研究表明,膀胱尿液培养与盆腔尿液培养无关,盆腔尿液培养是感染性并发症和败血症的更好预测因素。然而,盆腔尿液培养不能常规收集。我们的研究表明,术前膀胱尿液培养可能没有显示盆腔尿液培养定植,术前肾积水和低断层肾盂尿液密度的患者容易出现盆腔尿液培养阳性。我们的研究表明,术前患者的盆腔密度。摘要目的:术前膀胱尿液培养(PBUC)敏感性试验与肾盂尿液培养(RPUC)试验结果无相关性。材料和方法:共有129名接受f-URS的患者纳入研究。术前,收集所有病例的PBUC,并在开始手术时服用RPUC。结果:PBUC中有25例(19.4%)患者出现生长,RPUC中只有35例(27.1%)出现生长。术前肾盂的尿密度[比值比(OR):0.848,p<0.001]、肾积水分级≥2级(OR:18.970,p=0.001)和下肾盏结石位置(OR:0.033,p=0.017)被确定为RPUC生长的独立预测因素。尿液密度断层扫描预测RPUC阳性的能力为0.858(0.780-0.936)。预测RPUC阴性的尿液密度断层检查阈值为4.5,灵敏度为80%,特异性为77.7%。结论:PBUC并不一定意味着准确的定殖。尿液用于管理术后感染并发症。即使术前膀胱尿液样本呈阴性,术前肾积水和标称断层尿密度的患者也可能发展为RPUC。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Preoperative Urine Culture and Intraoperative Renal Pelvis Culture in Patients Who Underwent Flexible Ureterorenoscopy
Urine culture was recommended before any type of stone surgeries. The urine culture generally collected from bladder and infectious complications could occurs even the bladder urine culture was negative. The studies suggested that bladder urine culture do not correlate with pelvic urine culture and pelvic urine culture were better predictors for infectious complications and sepsis. However, the pelvic urine culture could not collect routinely. Our study demonstrated that preoperative bladder urine culture may not shows pelvic urine culture colonization and in patients with preoperative hydronephrosis and low tomographic pelvic urine density prone to positive pelvic urine culture. Our study suggest that preoperative patients who pelvic density. Abstract Objective: There is no correlation between the preoperative bladder urine culture (PBUC) sensitivity test and the results of the renal pelvic urine culture (RPUC) test. Materials and Methods: A total of 129 patients who underwent f-URS included the study. Preoperatively, PBUC was collected in all cases, and RPUC was taken when starting the surgery. Results: In PBUC, there was growth in 25 (19.4%) patients and in RPUC, there were only in 35 (27.1%) cases. Preoperative tomographic urine density at the renal pelvis [odds ratio (OR): 0.848, p<0.001], grade ≥2 hydronephrosis (OR: 18.970, p=0.001), and lower calyceal stone location (OR: 0.033, p=0.017) were determined as independent predictive factors for RPUC growth. The ability of tomographic urine density to foresee positive RPUC positivity was determined to be 0.858 (0.780-0.936). The tomographic urine density threshold for RPUC positivity prediction was 4.5, with 80% sensitivity and 77.7% specificity. Conclusion: PBUCs do not necessarily mean accurate colonization. urine for managing postoperative infectious complications. Patients that have preoperative hydronephrosis and nominal tomographic urine density could develop RPUC even if the preoperative bladder urine samples are negative.
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来源期刊
Journal of Urological Surgery
Journal of Urological Surgery UROLOGY & NEPHROLOGY-
自引率
33.30%
发文量
42
审稿时长
16 weeks
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