Special Issue "Prediction and Treatment of Perioperative Infection in Urinary Stones Surgery"

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Clinical Medicine, Cell, and Organism Physiology".

Deadline for manuscript submissions: closed (10 June 2023) | Viewed by 1020

Special Issue Editors

Department of Urology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai 200072, China
Interests: urinary tract infection; urinary stones; tumors of the urinary system
Prof. Dr. Baojun Gu
E-Mail Website
Guest Editor
Department of Urology, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200235, China
Interests: neurourology and urodynamics
Dr. Tiancheng Xie
E-Mail Website
Guest Editor
Department of Urology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai 200072, China
Interests: urinary stones; andrology

Special Issue Information

Dear Colleagues, 

Perioperative infection arising from urolithiasis is a major challenge for urologists. Urolithiasis is often accompanied by urinary tract obstruction and hydronephrosis, susceptibility to urinary tract infection, and the development of urogenic sepsis due to aggravation caused by urinary tract obstruction. There are many factors that affect perioperative infection arising from urinary tract stones, so urologists must take care to prevent the occurrence of inflammation. Additionally, given the current lack of novel biomarkers for the prediction of perioperative infection arising from urinary tract stone surgery, we aim to explore current methods of prediction, prevention and treatment based on the latest research. Through this, we hope to provide urologists with the knowledge to treat urinary tract stones and accompanying urinary tract infections.

Prof. Dr. Yunfei Xu
Prof. Dr. Baojun Gu
Dr. Tiancheng Xie
Guest Editors

Manuscript Submission Information

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Keywords

  • urinary stones
  • anti-inflammatory
  • surgery
  • perioperative infection
  • sepsis
  • SOFA

Published Papers (1 paper)

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Research

Article
The Relationship between Preoperative Urine Culture and Post-Percutaneous Nephrostolithotomy Systemic Inflammatory Response Syndrome: A Single-Center Retrospective Study
J. Pers. Med. 2023, 13(2), 187; https://doi.org/10.3390/jpm13020187 - 20 Jan 2023
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Abstract
Background: To predict the occurrence of systemic inflammatory response syndrome (SIRS) after percutaneous nephrostrolithotomy(PCNL), preoperative urine culture is a popular method, but the debate about its predictive value is ongoing. In order to better evaluate the value of urine culture before percutaneous nephrolithotomy, [...] Read more.
Background: To predict the occurrence of systemic inflammatory response syndrome (SIRS) after percutaneous nephrostrolithotomy(PCNL), preoperative urine culture is a popular method, but the debate about its predictive value is ongoing. In order to better evaluate the value of urine culture before percutaneous nephrolithotomy, we conducted a single-center retrospective study. Methods: A total of 273 patients who received PCNL in Shanghai Tenth People’s Hospital from January 2018 to December 2020 were retrospectively evaluated. Urine culture results, bacterial profiles, and other clinical information were collected. The primary outcome observed was the occurrence of SIRS after PCNL. Univariate and multivariate logistic regression analysis was performed to determine the predictive factors of SIRS after PCNL. A nomogram was constructed using the predictive factors, and the receiver operating characteristic (ROC) curves and calibration plot were drawn. Results: Our results showed that there was a significant correlation between positive preoperative urine cultures and the occurrence of postoperative systemic inflammatory response syndrome. Meanwhile, diabetes, staghorn calculi, and operation time were also risk factors for postoperative systemic inflammatory response syndrome. Our results suggest that among the positive bacteria in urine culture before percutaneous nephrolithotomy, Enterococcus faecalis has become the dominant strain. Conclusion: Urine culture is still an important method of preoperative evaluation. A comprehensive evaluation of multiple risk factors should be undertaken and heeded to before percutaneous nephrostrolithotomy. In addition, the impact of changes in bacterial drug resistance is also worthy of attention. Full article
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