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Risk Factors for Urinary Lithotripsy-Associated Sepsis

Published online by Cambridge University Press:  21 June 2016

Robert Orenstein ,
James E. Bross  and
Mary Dahlmann
Robert Orenstein
Affiliation:
Division of Infectious Diseases Department of Medicine, Medical College of Virginia, Richmond, Virginia
James E. Bross*
Affiliation:
Departments of Infectious Disease, Geisinger Medical Center, Danville, Pennsylvania
Mary Dahlmann
Affiliation:
Hospital Epidemiology Section, Geisinger Medical Center, Danville, Pennsylvania
*
Department of Infectious Disease, Geisinger Medical Center, Danville, PA 17822
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Abstract

Objectives:

To identify risk factors for sepsis following urinary extracorporeal shock wave lithotripsy (ESWL).

Design:

Retrospective case-control study with two control groups.

Setting:

A rural, 570-bed, regional referral center.

Results:

Six cases (four bacteremias and two fungemias) were compared with two sets of 18 controls. Cases had a higher frequency and number of urinary tract infections prior to the procedure and tended to have larger stone size.

Conclusions:

Patients undergoing ESWL who are at high risk for infectious complications may be identified by preprocedure evaluation. Such patients may require alternative prophylactic regimens and close postprocedure follow-up.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 14 , Issue 8 , August 1993 , pp. 469 - 472
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1993

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