An observational study of predictive factors for fever and sepsis following percutaneous nephrolithotomy

Authors

  • Vishnu Pratap Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
  • Ali Abbas Sayed Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
  • Manoj Kharade Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
  • Prakash Pawar Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
  • Ajit Sawant Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
  • M. Hamid Shafique Ahmed Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
  • Raunak Shewale Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
  • Umang Trivedi Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
  • Sanjay Dange Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
  • Jaydeep Dalvi Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
  • Amit Chiddarwar Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
  • Sanket Chaudhari Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20240568

Keywords:

Fever, Percutaneous nephrolithotomy, Sepsis, Complications, Stone

Abstract

Background: Although percutaneous nephrolithotomy is considered a safe procedure, it is not without complications. Certain preoperative and intraoperative factors if not identified and adequately treated in time can lead to complications ranging from post operative fever to urosepsis which may seldom lead to mortality. The aim of our study is to identify those factors so as to prevent complications and promote patient safety.

Methods: Retrospective analysis of medical records of the patients undergoing PCNL from January 2020 to January 2023 was done. A total of 235 patients were included in the study and associated factors analyzed statistically. Statistical analysis was performed by Chi-square test.

Results: We found five factors which significantly correlated with postoperative sepsis, namely, stone size >30 mm, staghorn calculus, prolonged operative time >120 min, significant bleeding requiring transfusion and pre operative urine culture positive.

Conclusions: Sepsis following PCNL is not uncommon. Progression to urosepsis maybe life threatening. Decreasing operative time decreases bleeding and related complications as well. Prophylactic antibiotics is recommended in PCNL procedure owing to its clean contaminated/contaminated surgical procedure.

References

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Published

2024-02-29

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Section

Original Research Articles