Endoüroloji Bülteni

Yazarlar: Dlek BULUT, Merve Sefa SAYAR, Ender Cem BULUT, Alper BİTKİN, Fatih BIÇAKLIOĞLU, Serhat ÇETİN, Murat KOPARAL, Kasım ERTAŞ

Konular:Üroloji ve Nefroloji

Anahtar Kelimeler:Urosepsis,Endourology,Antibiotic,Urolithiasis

Özet: Objective: Urinary system stones are an increasingly common disease that creates serious financial burden on the health system. Urinary infections are substantial after endoscopic treatment of urolithiasis. In this study, we examined the incidence of urosepsis in patients applied endoscopic stone treatment and the factors that increase it. Thus, we aimed to contribute to the discussion on measures to be taken to prevent urosepsis in patients. Material and Methods: Patients who underwent endoscopic stone treatment for kidney or ureteral stones were included in the study. The two groups, which were divided into those with and without sepsis, were compared with each other in terms of age, gender, comorbidity, and residual stones. Results: The total number of patients included in the study was 561. The median age of the patients included in the study was 39 (18-77). Sepsis findings were observed in 12 (4.2%), 31 (14.2%) and 9 (16.7%) patients, respectively, in patients grouped according to the age range of 18-40, 41-60 and 61-80 years. There was a significant difference between these groups in terms of the incidence of sepsis (p <0.001). While 39 (25.3%) patients had sepsis in the patient group with comorbidity, 13 (3.2%) patients had sepsis in the patient group without comorbidity. A statistically significant difference was found between the two groups in terms of the rates of sepsis (p <0.001). Conclusion: Recognizing the factors that facilitate postoperative urosepsis is important for effective prophylaxis and effective antibiotherapy in treatment. Findings to be obtained with high patient numbers may decrease the cost and morbidity rates created by urosepsis.

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