상부요로계에 대한 내비뇨기 시술에서 예방적 항생제 사용과 시술 후 감염성 합병증 발생에 관여하는 위험인자
Antibiotic Prophylaxis and Risk Factors of Infectious Complication after Endourologic Procedures of the Upper Urinary Tract
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Purpose: We investigated a retrospective analysis of infectious complication and its risk factors after endourologic procedures of the upper urinary tract, focusing on antibiotic prophylaxis (AP). Materials and Methods: We studied AP in 488 upper urinary tract examinations or treatments. Procedures included ureteral stenting, percutaneous nephrostomy, retrograde pyelography, and diagnostic ureteroscopy. We calculated that the prevalence and kind of AP and the incidence of febrile infectious complications with respect to each procedure and attempted to find the risk factors. Results: AP was used in 456 (93.3%) cases totally. Antibiotics of quinolone were the most popular medication. There are 17 (3.7%) febrile infectious complication cases after procedure, the most common procedure was percutaneous nephrostomy in 7 cases (6.0%). Bacteriuria, hydronephrosis, whether or not ureteral stent, or nephrostomy, or Foley catheterization was applied prior to examination or treatment, and were independent risk factors for infectious complications (<0.05). Conclusions: The data suggest that the risks of infectious complications should be evaluated carefully and AP should be recommended according to those risks before the procedures.
Abstract
Purpose: We investigated a retrospective analysis of infectious complication and its risk factors after endourologic procedures of the upper urinary tract, focusing on antibiotic prophylaxis (AP). Materials and Methods: We studied AP in 488 upper urinary tract examinations or treatments. Procedures included ureteral stenting, percutaneous nephrostomy, retrograde pyelography, and diagnostic ureteroscopy. We calculated that the prevalence and kind of AP and the incidence of febrile infectious complications with respect to each procedure and attempted to find the risk factors. Results: AP was used in 456 (93.3%) cases totally. Antibiotics of quinolone were the most popular medication. There are 17 (3.7%) febrile infectious complication cases after procedure, the most common procedure was percutaneous nephrostomy in 7 cases (6.0%). Bacteriuria, hydronephrosis, whether or not ureteral stent, or nephrostomy, or Foley catheterization was applied prior to examination or treatment, and were independent risk factors for infectious complications (<0.05). Conclusions: The data suggest that the risks of infectious complications should be evaluated carefully and AP should be recommended according to those risks before the procedures.
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