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C-reactive protein in early detection of bacteriemia and bacteriuria after extracorporeal shock wave lithotripsy.

Abstract：

OBJECTIVES:To evaluate the value of plasma C-reactive protein (CRP) levels in early detection of bacteriuria and bacteriemia after extracorporeal shock wave lithotripsy (ESWL) of calcium and infection stones. METHODS:A total of 75 patients who had infection stones (n = 27) and calcium stones (n = 48) were included in the study. All patients had sterile urine before ESWL. The mean age was 41.6 +/- 4.85 and male/female ratio was 2.12. Blood cultures were obtained within 1 hour post-ESWL period. Urine cultures were obtained 3 times just after and on the first and seventh day of ESWL. RESULTS:Post-ESWL evaluations showed 3 positive blood cultures with 2 (2.66%) patients in infection stone and 1 (1.33%) patient in calcium stone groups, whereas urine cultures revealed 6 (8%) positive results in infection stones and 4 (5.33%) in calcium stones. The patients who had positive cultures also had elevated plasma CRP levels when compared to the levels in patients with negative cultures (p = 0.000). CONCLUSIONS:Bacteriuria and bacteriemia after ESWL have been well-identified entities and may be responsible from some of the post-ESWL complications. CRP can be useful for early detection of such complications.

journal_name

Eur Urol

journal_title

European urology

authors

Yilmaz E,Batislam E,Tuglu D,Kilic D,Basar M,Ozluk O,Basar H

doi

10.1016/s0302-2838(03)00041-1

keywords:

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

270-4

issue

3

eissn

0302-2838

issn

1873-7560

pii

S0302283803000411

journal_volume

43

pub_type

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