Importance of microbiological evaluation in management of infectious complications following percutaneous nephrolithotomy.

Abstract:

AIM:To evaluate the infectious complications, microorganism distribution and antibacterial treatment in patients who underwent percutaneous nephrolithotomy (PCNL). PATIENTS AND METHODS:Three hundred and thirty-eight patients who were 17 years age or older who underwent PCNL between January 2001 and December 2002 have been evaluated retrospectively. Urine cultures obtained before, during and after PCNL and cultures of stone fragments, extracted during PCNL, were analyzed. Eighty-two patients, who have been referred to Section of infectious disease because of postoperative fever (Group 1; 58 males, 24 females, mean age: 45.5 years) and the remainder of patients (Group 2; 169 males, 87 females, mean age: 44.5 years) were compared in regard to infectious complications and microbiological culture results. RESULTS:The evaluation of peroperative urine cultures revealed that patients in Group 1 had more positive urine cultures than the other group. The analysis showed fever developed more frequently in patients with positive stone cultures and also in patients with positive peroperative urine. Overall, during the study period, five of 338 (1.5%) patients developed sepsis and none of them was lost due to sepsis. Comparison of two groups revealed that patients in Group 1 had a larger stone burden, longer operative time and longer postoperative hospital stay than patients in Group 2. CONCLUSION:Fever and bacteriemia after PCNL are common, through progression to sepsis is rare. Recovery is possible with a high degree of suspicion, early intervention and intensive treatment. The results of cultures taken preoperatively, peroperatively and during the febrile period have great importance for decision of required changes during the treatment.

journal_name

Int Urol Nephrol

authors

Dogan HS,Guliyev F,Cetinkaya YS,Sofikerim M,Ozden E,Sahin A

doi

10.1007/s11255-006-9147-9

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

737-42

issue

3

eissn

0301-1623

issn

1573-2584

journal_volume

39

pub_type

杂志文章
  • A review of children operated upon because of stenosis of the pelvo-ureteral junction.

    abstract::The authors report the late results of reconstructive surgery on stenosis of the pelvo-ureteral junction in children. 69 patients had been operated during 1965--1970. The results on clinical grounds were good: the infections and pain disappeared and the renal function was normal; however, the operation had no noticeab...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02085428

    authors: Iversen K,Jacobsson B,Rubensson A

    更新日期:1975-01-01 00:00:00

  • How to manage total avulsion of the ureter from both ends: our experience and literature review.

    abstract:OBJECTIVES:To evaluate the treatment alternatives of total avulsion of the ureter from both ends including ureteropelvic junction (UPJ) and ureterovesical junction (UVJ). METHODS:Total ureteral avulsion on both ends of the ureter was examined in 4 cases performing ureteroscopy. In two male patients of the four cases, ...

    journal_title:International urology and nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s11255-013-0505-0

    authors: Unsal A,Oguz U,Tuncel A,Bozkurt OF,Aslan Y,Eraslan A,Senocak Ç,Atan A

    更新日期:2013-12-01 00:00:00

  • Distal ureteral calculi: ureteroscopy vs. ESWL. A prospective analysis.

    abstract::Two groups of 50 consecutive patients each, with distal ureteric calculi, were treated by ureteroscopy or in situ ESWL (Dornier HM-4 lithotriptor) in order to establish the effectiveness of ESWL at the distal portion of the ureter. In comparison to ureteroscopy, ESWL for distal ureteral calculi was performed on an out...

    journal_title:International urology and nephrology

    pub_type: 临床试验,杂志文章

    doi:10.1007/BF02552156

    authors: Deliveliotis C,Stavropoulos NI,Koutsokalis G,Kostakopoulos A,Dimopoulos C

    更新日期:1996-01-01 00:00:00

  • Effects of omega-3 fatty acid plus alpha-tocopherol supplementation on malnutrition-inflammation score, biomarkers of inflammation and oxidative stress in chronic hemodialysis patients.

    abstract:OBJECTIVE:The current study was carried out to assess the effects of omega-3 fatty acid and alpha-tocopherol co-supplementation on malnutrition-inflammation score (MIS), biomarkers of inflammation and oxidative stress in chronic hemodialysis (HD) patients. METHODS:In a randomized double-blind placebo-controlled clinic...

    journal_title:International urology and nephrology

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11255-016-1399-4

    authors: Asemi Z,Soleimani A,Shakeri H,Mazroii N,Esmaillzadeh A

    更新日期:2016-11-01 00:00:00

  • True duplication of the vas deferens: a case report and review of literature.

    abstract:BACKGROUND:Duplication of the vas deferens is the identification of a second vas deferens within the spermatic cord; it is a rarely reported congenital anomaly. Duplicate vas deferens should not be confused with double vas deferens that describes ipsilateral renal agenesis with a blind ureter ending in the ejaculatory ...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-011-0042-7

    authors: Liang MK,Subramanian A,Weedin J,Griffith DP,Awad SS

    更新日期:2012-04-01 00:00:00

  • Prediction of radiographic severity of renal osteodystrophy by serum values.

    abstract::Renal osteodystrophy, a frequent complication of chronic renal failure, is usually assessed by periodic X-rays of bone which are both poorly reproducible and expensive. Seeking a better screening test for osteodystrophy, we evaluated the usefulness of serum alkaline phosphatase as a predictor of bone disease and of hy...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02085384

    authors: Guerra LE,Amato JA,Galen MA,Maher JF

    更新日期:1980-01-01 00:00:00

  • Association between TNF-α -308G/A polymorphism and diabetic nephropathy risk: a meta-analysis.

    abstract:PURPOSE:TNF-α -308G/A polymorphism has been implicated in the susceptibility of diabetic nephropathy, but studies have reported inconclusive results. The present study investigated the relationship between -308G/A polymorphism in the TNF-α gene and diabetic nephropathy risk by meta-analysis. METHODS:Data from PubMed, ...

    journal_title:International urology and nephrology

    pub_type: 杂志文章,meta分析

    doi:10.1007/s11255-013-0490-3

    authors: Zhao Y,Yang J,Zhang L,Li Z,Yang Y,Tang Y,Fu P

    更新日期:2013-12-01 00:00:00

  • Zolpidem pharmacotherapy combined with alpha-blocker therapy for nocturia unresponsive to alpha-blocker monotherapy in men with lower urinary tract symptoms: a preliminary study.

    abstract:AIM:The aim of the present study was to determine whether administration of zolpidem, a nonbenzodiazepine sedative-hypnotic agent, at night would improve the frequency of nocturia unresponsive to alpha-blocker monotherapy in men with lower urinary tract symptoms (LUTS). MATERIALS AND METHODS:The study inclusion criter...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-007-9206-x

    authors: Song YS,Ku JH

    更新日期:2007-01-01 00:00:00

  • Comparing the anti-inflammatory effects of corticotherapy and non-steroid anti-inflammatory drugs in infertile patients with infectious aetiology.

    abstract::To compare the anti-inflammatory effectiveness of corticotherapy and nonsteroid anti-inflammatory drugs (NSAID), we examined 126 infertile men with infectious aetiology. Seventy-seven patients were on corticotherapy and antibiotherapy (thirty-eight patients on high-dose and thirty-nine patients on low-dose corticother...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1023/a:1007184125900

    authors: Altay B,Girgin C,Cikili N

    更新日期:1999-01-01 00:00:00

  • Urinary TGF-1 has a supplementary value in predicting renal function recovery post unilateral ureteral obstruction.

    abstract:PURPOSE:To evaluate whether urine transforming growth factor-β1 (TGF-β1) can help identifying kidneys that would recover their function after drainage of unilateral ureteric obstructive. METHODS:Forty-five patients with unilateral ureteral obstruction were included. Glomerular filtration rate (GFR) of the obstructed k...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-014-0846-3

    authors: Chen X,Zhu W,Al-Hayek S,Yan X,Jiang C,Zheng X,Guo H

    更新日期:2015-01-01 00:00:00

  • Penile amputation and emasculation: hazards of modern agricultural machinery.

    abstract::We report a case of 20-year-old farmer with penile amputation and emasculation secondary to crushing injury inflicted by agricultural machinery. His entire penis, scrotum and both the testis had been avulsed after falling onto a rotating axel wheel of an electronically driven thrashing machine. After resuscitation the...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-004-0918-x

    authors: Dogra PN,Gautam G,Ansari MS

    更新日期:2004-01-01 00:00:00

  • Therapeutic effects and associated adverse events of first-line treatments of advanced renal cell carcinoma (RCC): a meta-analysis.

    abstract:PURPOSE:To compare the therapeutic effects and adverse events (AE) of current first-line treatments of advanced RCC, including sorafenib, sunitinib, temsirolimus, and the combination of bevacizumab and IFN-α. METHODS:We performed a meta-analysis of randomized controlled trials of the effectiveness of the five treatmen...

    journal_title:International urology and nephrology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s11255-015-0932-1

    authors: Wang L,Ma L,Wang X,Li B,Guo S,Qiao Q

    更新日期:2015-04-01 00:00:00

  • Multivariate evaluation of prognostic determinants for renal cell carcinomas which are metastatic at initial diagnosis.

    abstract::To clarify the relative importance of clinicopathological factors potentially affecting the survival of individuals initially diagnosed as having metastatic renal cell carcinoma (RCC), univariate and multivariate analyses using Cox's proportional hazards model were performed for 111 RCC patients who were admitted to f...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02550925

    authors: Takashi M,Kawai T,Murase T,Wakai K,Ohno Y

    更新日期:1997-01-01 00:00:00

  • Comparison of two detection systems for circulating tumor cells among patients with renal cell carcinoma.

    abstract:BACKGROUND/AIMS:Detection of circulating tumor cells (CTCs) in cancer patients has diagnostic and prognostic importance. However, the clinical implications of CTC detection in patients with renal cell carcinoma (RCC) are still unclear. In this study, we investigated the clinical significance of CTCs using two detection...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-018-1954-2

    authors: Bai M,Zou B,Wang Z,Li P,Wang H,Ou Y,Cui K,Bian J,Li S,Xu X

    更新日期:2018-10-01 00:00:00

  • Atypical presentations of benign retroperitoneal schwannoma: report of three cases with review of literature.

    abstract::We report 3 cases of benign retroperitoneal schwannoma, of whom one presented with flank pain with hematuria, one presented with headache and secondary hypertension and one presented with recurrent renal colicky pain. Two patients were treated by open surgical excision of the tumor with nephrectomy of the correspondin...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-004-4705-5

    authors: Singh V,Kapoor R

    更新日期:2005-01-01 00:00:00

  • Predictors of symptomatic lymphocele after kidney transplantation.

    abstract:PURPOSE:The development of a symptomatic lymphocele (SL) is a frequent postoperative surgical complication after kidney transplantation. It may lead to pain and discomfort and cause transplant malfunction or even secondary graft loss. A large cohort of renal recipients was investigated to identify the possible risk fac...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-019-02269-0

    authors: Joosten M,d'Ancona FC,van der Meijden WA,Poyck PP

    更新日期:2019-12-01 00:00:00

  • Clinical risk assessment of patients with chronic kidney disease by using clinical data and multivariate models.

    abstract:PURPOSE:Timely risk assessment of chronic kidney disease (CKD) and proper community-based CKD monitoring are important to prevent patients with potential risk from further kidney injuries. As many symptoms are associated with the progressive development of CKD, evaluating risk of CKD through a set of clinical data of s...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-016-1346-4

    authors: Chen Z,Zhang X,Zhang Z

    更新日期:2016-12-01 00:00:00

  • Ultrastructural features of canine kidneys after preservation with hyperthermic solutions and subsequent reperfusion.

    abstract::An analysis of the ultrastructural features of 35 canine kidneys after hypothermic preservation in Rheomacrodex, Collins3 and Sacks II solutions, and subsequent autologous reperfusion for 2 to 3 hours is presented. Signs of irreversibility (intramitochondrial crista fragmentation, cell membrane rupture, detachment of ...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02089353

    authors: Röth E,Szmolenszky T,Török E

    更新日期:1980-01-01 00:00:00

  • Acute renal failure due to cast nephropathy in nonsecretory myeloma: a case report and review of the literature.

    abstract::Multiple myeloma is characterized by marrow plamacytsois, M spike in serum or urine electrophoresis and skeletal lytic lesions. The M spike may be absent in rare instances. We describe a case of myeloma cast nephropathy with acute renal failure who did not exhibit an M spike. lambda-chain staining was documented on im...

    journal_title:International urology and nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s11255-004-2362-3

    authors: Kumar SK,Sohal PM,Kohli HS,Sud K,Gupta KL,Joshi K,Sakhuja V,Jha V

    更新日期:2005-01-01 00:00:00

  • Magnesium retards the progress of the arterial calcifications in hemodialysis patients: a pilot study.

    abstract:BACKGROUND:The aim of the study was to evaluate the impact of magnesium (Mg) on the evolution of arterial calcifications in hemodialysis patients. PATIENTS AND METHODS:Seventy-two stable hemodialysis patients were randomly allocated to two groups: 36 administered a regimen containing magnesium carbonate plus calcium a...

    journal_title:International urology and nephrology

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11255-014-0751-9

    authors: Tzanakis IP,Stamataki EE,Papadaki AN,Giannakis N,Damianakis NE,Oreopoulos DG

    更新日期:2014-11-01 00:00:00

  • Aluminum transport and dialysance during haemodialysis.

    abstract::Aluminum transfer and dialysance during haemodialysis and plasma aluminum concentrations in haemodialysis patients were examined. Plasma aluminum in 30 volunteer outpatients tended to decrease after 5-hour dialysis (6.35 +/- 3.02 micrograms/dl before haemodialysis; 5.41 +/- 2.60 micrograms/dl after haemodialysis). The...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02583037

    authors: Hosokawa S,Nishitani H,Nishio T,Imai T,Tomita Y,Tomoyoshi T,Sawanishi K,Yoshida O

    更新日期:1988-01-01 00:00:00

  • A rare foreign body on penis leading to incarceration.

    abstract::Foreign body on penis is usually put himself or by his female partner by adults for sexual gratification and in children as an innocent childish play. We have managed a 10 years shepherd who put on a bark of tree with successful outcome which is not being reported in literature. ...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1023/a:1017565520257

    authors: Bhat AL,Saxena G,Goyal R,Patni M

    更新日期:2001-01-01 00:00:00

  • Prospective randomized comparison of intravesical BCG therapy with standard dose versus low doses in superficial bladder cancer.

    abstract::In this study, we evaluated low dose intravesical bacillus Calmette-Guerin (BCG) therapy following transurethral resection (TUR) in 80 patients with superficial bladder cancer. The patients were divided into two groups. Of the Connaught BCG strain 81 mg was given to 40 patients in Group 1 and 54 mg to the remainder of...

    journal_title:International urology and nephrology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF02550276

    authors: Yalçinkaya F,Kamiş L,Ozteke O,Günlüsoy B,Yigitbaşi O,Unal S

    更新日期:1998-01-01 00:00:00

  • The alteration of inflammatory markers and apoptosis on chronic prostatitis induced by estrogen and androgen.

    abstract:PURPOSE:The age-related decline of the testosterone-to-estrogen (T-to-E2) ratio in serum is associated with the increased prevalence of prostatic inflammation. The goal of the study was to induce prostatic inflammation with E2 and androgen treatment and to explore the inflammatory markers and apoptosis on prostatitis. ...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-014-0845-4

    authors: Jia YL,Liu X,Yan JY,Chong LM,Li L,Ma AC,Zhou L,Sun ZY

    更新日期:2015-01-01 00:00:00

  • Monitoring of artificial insemination.

    abstract::Artificial insemination (ADI) has been carried out with donor semen since 1984. Following artificial insemination 14 women out of 27 became pregnant in 1984, 30 women out of 57 in 1985 and 33 women out of 56 until October 1, 1986. The cycles were monitored. Serum LH and oestradiol levels were determined every day from...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02549573

    authors: Szöllösi J,Ugocsai G,Sas M

    更新日期:1988-01-01 00:00:00

  • An unusual profile of endocrine study in a patient with pre-Cushing's syndrome.

    abstract::A unilateral adrenal tumour was incidentally detected in a 39-year-old woman with no characteristic features of Cushing's syndrome. Basal levels of glucocorticoids were within normal limits. However, abnormal pattern of plasma cortisol and ACTH was observed. The dexamethasone suppression test and the metyrapone test s...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:

    authors: Kodama C,Nakada T,Sasagawa I,Ishigooka M,Yamaguchi T,Suzuki H

    更新日期:1993-01-01 00:00:00

  • Retroperitoneal fibrosis due to malignancy: a case report.

    abstract::Retroperitoneal fibrosis is idiopathic in two thirds of cases and is found most commonly as an isolated fibrotic plaque centered over the lumbar spine and entrapping one or both ureters. It has been postulated that fibrosis in the idiopathic cases results from a hypersensitivity reaction to antigens leaking into the r...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02551311

    authors: Erton ML,Ilker YN,Ceyhan N,Akdaş A

    更新日期:1995-01-01 00:00:00

  • Is modified retroperitoneal lymph node dissection (MRLND) still feasible in the treatment of patients with clinical stage I non-seminomatous testicular cancer?

    abstract::The results of treatment by means of modified RLND in 52 patients with clinical stage I non-seminomatous testicular cancer are presented. Retroperitoneal lymph node metastases were found in 15 patients (28.8%) with clinical stage I (CS-I) diagnosed prior to surgery. They received chemotherapy according to PVB schedule...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02768020

    authors: Sosnowski M,Jeromin L,Płuzańska A

    更新日期:1994-01-01 00:00:00

  • Effects of the chronic use of dehydroepiandrosterone (DHEA) on testicular weight and spermatogenesis: experimental study in rats.

    abstract:AIM:The complete biological effects of chronic use of dehydroepiandrosterone (DHEA), reported as a weak androgen, are not completely understood. The aim of the present study is to evaluate the effects of chronic administration of DHEA on the spermatogenesis in rats. METHODS:Male Wistar rats, 4 months old, were selecte...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1023/a:1025918228851

    authors: Gobbi D,Rhoden EL,Menti E,Lulhier F,Rhoden C

    更新日期:2003-01-01 00:00:00

  • Radial artery sclerostin expression in chronic kidney disease stage 5 predialysis patients: a cross-sectional observational study.

    abstract:PURPOSE:Bone metabolism disorder is often associated with cardiovascular calcification in patients with chronic kidney disease (CKD). Sclerostin, a novel candidate protein, has been identified to be involved in the bone-vascular axis. The aims of the current investigation were to assess vessel sclerostin expression and...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-017-1604-0

    authors: Zhou H,Yang M,Li M,Cui L

    更新日期:2017-08-01 00:00:00