Document Detail


Incidence of Infectious Complications after Extracorporeal Shock Wave Lithotripsy in Patients Without Associated Risk Factors.
MedLine Citation:
PMID:  24866598     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: To determine the incidence of infectious complications (asymptomatic bacteriuria, urinary tract infection and urosepsis) in subjects without associated risk factors treated with extracorporeal shock wave lithotripsy (SWL).
MATERIAL AND METHODS: An observational prospective cohort study was carried out between October 2010, and June 2013. We included all subjects without risk factors treated with SWL for, kidney or ureteral lithiasis. All subjects underwent a urine culture five days prior the procedure and another one seven days after the SWL. None of the subjects included were treated with antibiotics.
RESULTS: 366 subjects were initially enrolled. The mean age was 53+13 years. 64 subjects (17.5%) underwent SWL with previously placed double J stent. The urine culture post-SWL was positive in 20 patients (5.8%), 4 of them (1.2%) presented symptomatic urinary infection and the rest (4.6%) did not show any symptoms. None of the subjects developed urosepsis. In our case, the age has demostrate to be an independent risk factor for post-SWL bacteriuria.
CONCLUSIONS: The incidence of infectious complications after SWL in subjects without risk factors is very low, which leads us to conclude that, without defined risk factors, antibiotic prophylaxis is not justified. We also demonstrate that elderly subjects have more risk for development of post-SWL bacteriuria and therefore a possible infectious complication.
Authors:
A Mira Moreno; Montoya Lirola; P J García Tabar; J F Galiano Baena; J A Tenza Tenza; J J Lobato Encinas
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-5-24
Journal Detail:
Title:  The Journal of urology     Volume:  -     ISSN:  1527-3792     ISO Abbreviation:  J. Urol.     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-5-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
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