書誌事項
- タイトル別名
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- A Study of Factors Affecting Febrile Urinary Tract Infection Following Ureterorenoscopic Lithotripsy
- ケイ ニョウドウテキ ケッセキ ハサイ ジュツゴ ノ ユウネッセイ ニョウロ カンセンショウ ニ エイキョウ スル インシ ノ ケントウ
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抄録
Febrile urinary tract infection (f-UTI) is a common complication after ureterorenoscopic lithotripsy (URSL) but is sometimes lethal. In this article, we analyzed the factors of post URSL f-UTI. We retrospectively evaluated the association between the development of f-UTI and patients, stones, and perioperative factors in 695 cases in which URSL was performed at our institution from September 2015 to 2018. Seventy-six of the 695 patients (10.9%) had postoperative f-UTI. Elderly (p=0.013), female (p=0.02), and hypertension (p=0.001) patients had significantly higher rates of f-UTI. Renal stone (p=0.001) cases showed significantly higher rates of f-UTI. Preoperative urine positive culture (p=0.045), preoperative f-UTI (p<0.001), URSL procedure using flexible ureteroscopy (p=0.048), non-stone-free (p=0.006), long operation time (p=0.011), preoperative urinary stent insertion due to preoperative f-UTI (p<0.001), were factors associated with post-operative f-UTI. Multivariate analysis revealed that hypertension (OR=2.08, p=0.008) and preoperative f-UTI (OR=3.739, p=0.033) were independent factors of postoperative f-UTI. Patients with hypertension or preoperative f-UTI should be managed more carefully during the perioperative period, suspecting that they are more likely to develop postoperative f-UTI.
収録刊行物
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- 泌尿器科紀要
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泌尿器科紀要 69 (4), 101-106, 2023-04-30
泌尿器科紀要刊行会
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詳細情報 詳細情報について
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- CRID
- 1390014648128026752
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- NII書誌ID
- AN00208315
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- HANDLE
- 2433/282078
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- NDL書誌ID
- 032797135
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- ISSN
- 00181994
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- IRDB
- NDL
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- 抄録ライセンスフラグ
- 使用可