PMID- 26379932
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20150918
LR  - 20201001
IS  - 1940-5901 (Print)
IS  - 1940-5901 (Electronic)
IS  - 1940-5901 (Linking)
VI  - 8
IP  - 7
DP  - 2015
TI  - Risk factors of infectious complications following flexible ureteroscope with a 
      holmium laser: a retrospective study.
PG  - 11252-9
AB  - PURPOSE: We aimed to evaluate the effectiveness of flexible ureteroscope for 
      treating kidney stones and the risk factors for infectious complications 
      following flexible ureteroscope (FURS) with a holmium laser. METHODS: We 
      retrospectively reviewed the data of 227 patients with kidney stones who 
      underwent flexible ureteroscope with a holmium laser at our hospital from January 
      2012 to September 2014, including gender, age, comorbidity, urine analysis 
      results, urine culture results, blood test results, stone size, operative 
      duration, and residual stones. Patients with and without infectious complications 
      were assigned to groups A and B, respectively. The dependent variables were 
      postoperative infectious complications, and the risk factors for infectious 
      complications following FURS were assessed using Chi-square tests and 
      multivariate logistic regression analyses. RESULTS: All the surgeries were 
      successfully completed. The total stone-free rate was 81.9% (n = 186), and the 
      incidence of infectious complications after FURS was 8.37% (n = 19). Fifteen 
      patients (6.61%) developed fever postoperatively, 10 patients (4.41%) developed 
      systemic inflammatory response syndrome (SIRS), 6 patients with fever were 
      considered to have SIRS (2.64%), and 2 patients had sepsis (0.88%). Univariate 
      analyses of groups A and B indicated that pyuria, stone size, operative duration, 
      and infectious stones were risk factors for infectious complications after FURS 
      (P < 0.05). Multivariate logistic regression analyses indicated that pyuria (P = 
      0.017), operative duration (P = 0.026), and infectious stones (P = 0.030) were 
      independently related to infectious complications. CONCLUSION: Pyuria, operative 
      duration, and infectious stones were risk factors for infectious complications 
      following FURS. Hence, routine urinalysis findings should be carefully 
      considered, particularly the finding of pyuria.
FAU - Fan, Song
AU  - Fan S
AD  - Department of Urology Surgery, First Affiliated Hospital of Anhui Medical 
      University Hefei 230022, China.
FAU - Gong, Binbin
AU  - Gong B
AD  - Department of Urology Surgery, First Affiliated Hospital of Anhui Medical 
      University Hefei 230022, China.
FAU - Hao, Zongyao
AU  - Hao Z
AD  - Department of Urology Surgery, First Affiliated Hospital of Anhui Medical 
      University Hefei 230022, China.
FAU - Zhang, Li
AU  - Zhang L
AD  - Department of Urology Surgery, First Affiliated Hospital of Anhui Medical 
      University Hefei 230022, China.
FAU - Zhou, Jun
AU  - Zhou J
AD  - Department of Urology Surgery, First Affiliated Hospital of Anhui Medical 
      University Hefei 230022, China.
FAU - Zhang, Yifei
AU  - Zhang Y
AD  - Department of Urology Surgery, First Affiliated Hospital of Anhui Medical 
      University Hefei 230022, China.
FAU - Liang, Chaozhao
AU  - Liang C
AD  - Department of Urology Surgery, First Affiliated Hospital of Anhui Medical 
      University Hefei 230022, China.
LA  - eng
PT  - Journal Article
DEP - 20150715
PL  - United States
TA  - Int J Clin Exp Med
JT  - International journal of clinical and experimental medicine
JID - 101471010
PMC - PMC4565315
OTO - NOTNLM
OT  - Flexible ureteroscope
OT  - infectious complications
OT  - kidney stones
OT  - risk factors
EDAT- 2015/09/18 06:00
MHDA- 2015/09/18 06:01
PMCR- 2015/07/15
CRDT- 2015/09/18 06:00
PHST- 2015/03/18 00:00 [received]
PHST- 2015/07/01 00:00 [accepted]
PHST- 2015/09/18 06:00 [entrez]
PHST- 2015/09/18 06:00 [pubmed]
PHST- 2015/09/18 06:01 [medline]
PHST- 2015/07/15 00:00 [pmc-release]
PST - epublish
SO  - Int J Clin Exp Med. 2015 Jul 15;8(7):11252-9. eCollection 2015.