Incidence of Infectious Complications after Extracorporeal Shock Wave Lihotripsy and the Role of Routine Prophylactic Antibiotics
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 4
Abstract
Infection is the one of the most important complication after extracorporeal shock wave lithotripsy (ESWL). Role of antibiotics after ESWL is controversial. We did the study to know the incidence of infectious complications following ESWL and need for post procedural antibiotics in low risk patients. We did a prospective, observational; cohort study from April 2015 to November 2016.Total 162 patients were taken who were advised to undergo ESWL in our Out Patient Department (OPD) for renal or ureteric calculus/calculi. Urine culture was performed 5 days before and 7 days after the procedure. No patients (without any risk factors or negative pre-procedural urine culture) received any post-procedural antibiotics. Total 144 patients were enrolled in the study with median age of 37.58 ± 10.67 years. Among 144 patients, 127 patients (88.2%) had sterile urine culture done 7 days after ESWL. Only in 17 patients (11.8%) patients, urine culture was positive. Out of these 17 culture positive patients, 14 patients(9.7%) had no symptoms(asymptomatic bacteriuria), 3 patients(2.1%) had urgency, frequency, burning micturition, dysuria(symptomatic UTI) and none of the patients developed urosepsis. In our study, we found stone size to be an independent factor for developing infection. The incidence of infectious complications after extracorporeal shock wave lithotripsy is low in patients without risk factors. So, routine antibiotic prophylaxis is not justified without defined risk factors such as positive urine culture before ESWL, an external bladder catheter or nephrostomy tube and a history of infectious stones or recurrent urinary tract infections. Patients with larger stones (>1cm) are more at risk for post-ESWL bacteriuria and, thus, for a possible infectious complication.
Authors and Affiliations
Dr. Chandranath Mukhopadhyay, Dr. Pramod Kumar Sharma, Dr. Jay Kumar, Dr. Barun Saha, Dr. Nilanjan Mitra, Dr. Souvik Chatterjee, Dr Kanishka Samanta, Prof. Soumendranath Mondal, Prof. Dilip Karmakar
Keywords
Related Articles
- EP ID EP485364
- DOI -
- Views 70
- Downloads 0
Tragal Perichondrium vs. Temporalisfascia in Myringoplasty: A Comparative Study
Abstract:Use of temporalis fascia or tragal perichondrium in myringoplasty is a well known entity sins long time. No proper data available for comparison of temporal fascia vstragalperichondrium in myringoplasty. The obj...
A Comparative Evaluation of the Three Different Methods of Endometrial Sampling in the Diagnosis of Perimenopausal Bleeding: A cross sectional study
Abnormal uterine bleeding (AUB) is a common cause for a woman of all ages to consult their gynaecologists. One-third of patients attending the Gynaecology OPD present with complaints of AUB. The present study was propose...
Application of RIPASA Scoring in Acute Appendicitis
Abstract: Acute appendicitis is one of the most common surgical emergencies with a lifetime presentation of approximately 1 in 7[1]. Its incidence is 1.5-1.9/1000 in males and females.A difficulty in diagnosis is experie...
Knowledge and awareness of the medical students about injuries in forensic perspective
Abstract: Injuries can occur due to various reasons. It can occur accidentally or self-inflicted or caused by the other persons. Examination of such injuries can provide important data for the management as well as for t...
Clinico Microbiological Spectrum of Diabetic Foot Infections
Abstract: Diabetic foot infections are a common cause of morbidity and mortality. This study was undertaken to study the microbiological flora of diabetic foot ulcers and to assess the in vitro antibacterial susceptibili...