Risk factors for urinary infection after retrograde upper urinary lithotripsy

Abstract

There are needs to evaluate the risk factors for urinary infection after retrograde upper urinary lithotripsy, to provide insights into the management and nursing care of patients with retrograde upper urinary lithotripsy.Patients who received retrograde upper urinary lithotripsy with a Foley 20 urinary tube insertion from June 1, 2019 to December 31, 2020 in our hospital were selected. Patients were grouped urinary infection and no infection group according to the culture results of urine, and the clinical data of the 2 groups of patients were collected and compared. Single factor and logistic regression analysis were used to analyze the risk factors of urinary tract infection after retrograde upper urinary lithotripsy.Four hundred ten patients with retrograde upper urinary lithotripsy were included, of whom 62 patients had the urinary tract infection, the incidence of urinary tract infection was 15.12%. There were significant differences in the gender, age, diabetes, stone diameter, duration of urinary tube insertion and duration of surgery between infection and no-infection group (all P < .05). The Escherichia coli (62.90%) was the most commonly seen bacterial in patients with urinary tract infection. Female (odds ratio [OR]: 1.602, 95% confidence interval 95% [CI]: 1.132∼2.472), age >50 years (OR: 2.247, 95% CI: 1.346∼3.244), diabetes (OR: 2.228, 95% CI: 1.033∼3.451), stone diameter ≥2 cm (OR: 2.152, 95% CI: 1.395∼3.099), duration of urinary tube insertion ≥3 days (OR: 1.942, 95% CI:1.158∼2.632), duration of surgery ≥90 minutes (OR: 2.128, 95% CI: 1.104∼3.846) were the independent risk factors for the postoperative urinary tract infection in patients with retrograde upper urinary lithotripsy (all P < .05).The incidence of urinary tract infection in patients undergoing retrograde upper urinary lithotripsy was high, counteractive measures targeted on those risk factors are needed to prevent and reduce the postoperative urinary infection in clinical settings.

Risk Factors of Urinary Tract Infection in Pediatric Patients with Ureteropelvic Junction Obstruction after Primary Unilateral Pyeloplasty

“…A previous study demonstrated that uropathogens isolated from male urolithiasis patients were more resistant to antimicrobials than female, revealing the presence of sex differences with regard to microbial spectrum and antibiotic sensitivity [18]. Consistent with our study, gender difference was also observed in patients with UTI after retrograde upper urinary lithotripsy [19]. More similarly, Wang et al found that infants and young children with double-J catheter retention exhibited a higher risk of UTI, largely due to Gram-negative bacilli, and male sex was also a risk factor of UTI [20].…”

A predictive model of nosocomial infection in patients with upper urinary tract stones after flexible ureterorenoscopy with laser lithotripsy: A retrospective study

“…Discharge of the stone can directly damage the mucosa, causing stones containing infectious ingredients, such as trimagnesium phosphate ammonium phosphate, to invade the damaged area increasing the risk of nosocomial infection. 21 , 22 Long term indwelling of a double J stent can stimulate the urethral mucosa as a foreign body, and infection is more likely if aseptic conditions are not maintained during the operation. 23 Larger stone diameter is also a risk factor as they are more difficult to discharge, which increases the degree of urinary system obstruction, hydronephrosis, and subsequently, the risk of secondary infection.…”

Effects of integrated nursing and psychological intervention on pain relief and patient satisfaction in urinary calculi patients

“…The unpredictability of urinary tract stones also causes anxiety, further affecting patients' men-tal health. Current treatments like painkillers, urethra dilation, stone dissolution, and surgical resection have limitations, including insufficient symptom relief, risk of complications like urinary tract infections, and the trauma and recovery associated with surgery [2]. Thus, identifying more effective solutions is critical.…”

“…(2) Relaxation training consisted of teaching relaxation techniques like deep breathing and progressive muscle relaxation to alleviate anxiety, tension, and pain. Am J Transl Res 2024;16(4):1219-1227…”