|
|
Clinical analysis of urinary tract infection after percutaneous nephrolithotomy in middle-aged and elderly female patients of Hani Yi nationality |
LIANG Min1 ZHENG Li-min1 MA Zhi-ming1 LI Hai-yi2 JIANG Jiao-jiao3 HE Yao1 LI Chun-guang1 |
1.Department of Urology,the Fifth Affiliated Hospital of Kunming Medical University/Diannan Central Hospital of Honghe Prefecture in Yunnan Province,Gejiu661000,China;
2.Department of Preventive Medicine,Kunming Medical University in Yunnan Province,Kunming650500,China;
3.Department of Clinical Laboratory,the Fifth Affiliated Hospital of Kunming Medical University/Diannan Central Hospital of Honghe Prefecture in Yunnan Province,Gejiu661000, China |
|
|
Abstract Objective To explore the clinical characteristics of after percutaneous nephrolithotomy in middle-aged and elderly female patients with upper urinary tract calculi of Hani Yi nationality in the Red River Basin.Methods 392 cases with upper urinary tract calculi after percutaneous nephrolithotomy treated by Department of Urology,the Fifth Affiliated Hospital of Kunming Medical University/Diannan Central Hospital of Honghe Prefecture from July 2013 to September 2016 were retrospectively analyzed.Middle urine bacterial culture performed in all patients before surgery, bacterial culture was conducted inrenal pelvis urineand collected calculi during operation and blood bacterial culture was added for patients with acute systemic inflammatory response syndrome after operation.The positive rate of a variety of culture result was counted.Incidence rate of systemic inflammatory response syndrome in middle-aged and elderly female and male group,young boys and girls group was respectively compared.Drug resistant strain of urinary tract infection after operation and antibiotic susceptibility of common pathogens in middle-aged and elderly female patients was analyzed.Results The incidence rate of systemic inflammatory response syndrome after percutaneous nephrolithotomy in middle-aged and elderly female patients(36.4%) of Hani Yi nationality was obviously higher than that of middle-aged and elderly male patients(17.1%)and young boys and girls group(12.7%),and there was astatistical difference(χ2=9.144,P=0.002;χ2=24.255,P<0.01).Among the strains isolated from the population,the population carrying multiple drug resistant strains accounted for 58.7%,among them,the middle-aged and elderly female women were as high as 75.0%.The main pathogens of Gram negative bacteria,and antibiotic resistance was highforpenicillins,quinolones and cephalosporins and it was sensitive to compound beta lactamase inhibitors,Amikacin,Imipenem and so on.Conclusion Infection rate of urinary tract infectionafter percutaneous nephrolithotomy in middle-aged and elderly female patients of Hani Yi nationality in the Red River Basinis high,and multiple drug resistant bacteria infection is more common,and it should be paid attention to.
|
|
|
|
|
[1] |
那彦群,叶章群,孙颖浩,等.中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2014:129-130.
|
[2] |
罗钰辉,龙江,申吉泓,等.云南省彝族205例泌尿系结石成分分析[J].昆明医科大学学报,2016,37(14):99-102.
|
[3] |
Ibrah?m Buldu,Abdulkadir Tepeler,Tuna Karatag,et al.Does aging affect the outcome of percutaneous nephrolithotomy?[J]. Urolithiasis,2015,43(2):183-187.
|
[4] |
Zanetti G,Paparella S,Trinchieri A,et al.Infections and urolithiasis:current clinical evidence in prophylaxis and antibiotic therapy[J].Arch Ital Urol Androl,2008,80(1):5-12.
|
[5] |
刘东波,殷德科,古孝良.经皮肾镜碎石术后并发全身炎症反应综合征的危险因素分析[J].现代泌尿外科杂志,2016,21(1):31-34.
|
[6] |
Gutierrez J,Smith A,Geavlete P,et al.Urinary tract infections and post-operative fever in percutaneous nephrolithotomy[J]. World J Urol,2013,31(5):1135-1140.
|
[7] |
Resorlu B,Diri A,Atmaca AF,et al.Can we avoid percutaneous nephrolithotomy in high-risk elderly patients using the Charlson comorbidity index?[J].Urology,2012,79(5):1042-1047.
|
[8] |
Korets R,Graversen JA,Kates M,et al.Post-percutaneous nephrolithotomysystemicinflammatoryresponse:aprospective analysis of preoperative urine,renal pelvic urine and stone cultures[J].J Urol,2011,186(5):1899-1903.
|
[9] |
国家卫生计生委合理用药专家委员会,全国细菌耐药监测网.2015年全国细菌耐药监测报告[J].中国执业药师,2016,13(3):3-8.
|
[10] |
吕承勋,沈明康,陆毅,等.上尿路结石患者内镜碎石术后泌尿系统感染的临床分析[J].中华医院感染学杂志,2016,26(8):1786-1788.
|
[11] |
Alós JI,Serrano MG,Gómez-Garcés JL,et al.Antibiotic resistance of Escherichia coli from community-acquired urinary tract infections in relation to demographic and clinical data[J].Clin Microbiol Infect,2005,11(3):199-203.
|
[12] |
祝子清,龙萍,吕艳,等.合并尿路结石的复杂性尿路感染的诊断与治疗[J].医药导报,2016,35(5):435-438.
|
[13] |
刘小敏,候利剑,梁毅,等.抗菌药物使用与常见感染病原菌耐药情况分析[J].中国当代医药,2011,18(27):150-152.
|
[14] |
段敏,李瑞,姜炎冰,等.泌尿系多重耐药菌感染患者的回顾分析与护理[J].包头医学院学报,2016,32(1):112-113.
|
[15] |
龙清志,李翔,贺大林,等.输尿管镜碎石术治疗肾和输尿管结石2150例的并发症分析[J].现代泌尿外科杂志,2016,21(8):606-609.
|
|
|
|