Predictive factors of infectious complications following Percutaneous Nephrolithitomy-An Institutional Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Objective: To determine the predictors of infectious complications following percutaneous nephrolithotomy (PCNL) in a prospective study. Materials and Methods: A total of 120 patients with renal or upper ureteric calculi who underwent PCNL between January 2016 and December 2017 were included in the study. Infectious complications included febrile urinary tract infection and septicemia. The patients were divided into Group A and B depending on whether they developed or did not develop infectious complications. Patient, stone, renal, and procedure‑ related factors were compared between the two groups. Results: There was no significant (P > 0.05) difference among age (39.5±18.3vs 40.76±19.4 ) and sex between both the groups. The patients in Group A were found to have significantly higher incidence of renal failure (37.5% vs 6.73%, P = 0.00022), diabetes mellitus ([5 (31.52%) vs. 12 (11.53%), P = 0.035]), previous PCN tube placement (4 [25%] vs. 6 [5.8%] P = 0.0096), mean number of punctures (1.88 ± 0.7 vs. 1.4 ± 0.38, P = 0.0001), and mean duration of surgery (101.56±21.02 vs. 87±18.76, P = 0.0052) than Group B. The multivariate binary logistic regression analysis revealed that patients with renal failure (serum creatinine >1.4 mg/dl), staghorn stone, higher number of puncture, and longer duration of surgery were found to be significant factors associated with infectious complications Conclusion: Post‑ PCNL infectious complications were found to be more common in patients with renal failure, diabetes mellitus, preoperative PCN placement, staghorn calculi, severe HDN, multiple punctures, and prolonged duration of surgery.
Authors and Affiliations
J. V. S. Prakash, Venkatesh Ulaganathan, Arasi . K. V, Natarajan . V
Keywords
Related Articles
- EP ID EP375194
- DOI 10.9790/0853-1705107377.
- Views 80
- Downloads 0
Assessment of Adverse Drug Reaction’s From The Treatment Charts of A Hospitalised Patients Suffering With Cardiac Arrhythmias And Complications Due To Adverse Drug Reaction’s
Cardiac Arrhythmia is a condition in which the heart’s normal rhythm is disrupted. The heart may beat too slowly, too quickly or with an irregular rhythm. Most arrhythmias are harmless, but some can be serious and potent...
Study of Direct Trocar Insertion Technique For Creating Pneumoperitoneum In Laparoscopy: A Case Series Of 50 Cases
Introduction : Laparoscopy is the art of examining the abdominal cavity and its contents without making large incisions. The first step in laparoscopic surgery is LE and creation of pneumoperitoneum. This is a very impor...
Histopathological patterns of Neoplastic gingival lesions: A six year study
Gingiva including the jaw bones (maxilla and mandible) is a site for multitude of neoplastic conditions. Traditionally histopathological examination of a tissue biopsy of the suspicious lesion is regarded as the gold sta...
Solitary Gastric Metastasis from Ovarian Cancer
Gastric metastasis from ovarian cancer is rare and usually occurs in advanced stages. We describe a case of a 61-year-old woman who presented with a solitary gastric submucosal tumor years after the diagnosis of a stage...
Clinical Study of Post Thyroidectomy Hypocalcemia
Background: Hypocalcaemia following thyroid surgery is the most common complication following thyroid surgery. This study will evaluate the risk factors and predictors of hypocalcaemia either transient or permanent. Desi...