Prevention and strategies of infectious complications in retrograde
ureteroscopy

doi:10.3760/cma.j.issn.1007-1245.2022.04.034

Abstract

Abstract: With the development and popularity of retrograde ureteroscopy in the treatment of urinary calculi, the incidence of postoperative urogenic sepsis increases. Urinary calculi and urinary tract infection are inseparable, and a large part of the economic burden is biased to infection-related calculi. Urinary tract infection is the most common postoperative complication after calculi surgery, and the further development of urogenic sepsis is life-threatening. The risk of infection is influenced by various factors, including comorbidities, anatomic abnormalities, surgical factors, and local antimicrobial sensitivity. Understanding these risks and appropriate steps to mitigate them are important parts of reducing postoperative morbidity and mortality. The purpose of this article is to review current literatures for the prevention and management of calculi associated infection complications associated with retrograde ureteroscopy.

Key words: Ureteroscopy, Urolithiasis, Urology, Urogenic sepsis

摘要： 随着逆行输尿管镜手术治疗泌尿系结石的发展及普及，术后尿源性脓毒血症发病率升高。泌尿系结石与尿路感染密不可分，其中很大一部分经济负担都偏向于与感染相关的结石。泌尿系感染是结石术后最多最常见的术后并发症，进一步发展尿源性脓毒血症有危及生命的风险。感染风险受多种因素影响，包括共病条件、解剖异常、手术因素和局部抗微生物敏感性。了解这些风险以及减轻风险的适当步骤是降低术后发病率和病死率的重要组成部分。本文的目的是回顾当前与逆行输尿管手术相关结石相关感染并发症的预防和处理文献。

关键词: 输尿管镜, 泌尿系结石, 泌尿外科, 尿源性脓毒血症

Yang Yiming, Zhang Jianfeng, Guan Denghai, Liu Jianjun. Prevention and strategies of infectious complications in retrograde ureteroscopy[J]. International Medicine and Health Guidance News, 2022, 28(4): 582-585.

杨逸铭, 张剑锋, 关登海, 柳建军. 逆行输尿管镜手术感染性并发症的预防及策略[J]. 国际医药卫生导报, 2022, 28(4): 582-585.

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Prevention and strategies of infectious complications in retrograde ureteroscopy

逆行输尿管镜手术感染性并发症的预防及策略

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