ArticleFrontiers in medicine2024
Influence of preoperative urine culture and bacterial species on urogenital sepsis after ureteral flexible lithotripsy in patients with upper urinary tract stones.
Article in Frontiers in medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Urinary Tract Infectious Complications After Retrograde Intrarenal Surgery: The RIRS-STAMP Risk Score from a Two-Center Cohort.Pathogens (Basel, Switzerland) · 2026Article
- Analysis of preoperative risk factors for clinical decision-making in female upper urinary tract stones: a retrospective cohort study.BMC urology · 2026Article
- Explainable machine learning algorithms for preoperative risk stratification of urosepsis after retrograde intrarenal surgery.Urolithiasis · 2026Article
- Distinct landscapes of T-cell immunity and TCR repertoire between sepsis and pre-septic high-risk states.Frontiers in immunology · 2026Article
- Preoperative Urine Testing in Elective Endourology Procedures: Is a Change in Practice the Need of the Hour?Cureus · 2025Article
- The prognostic value of the neutrophil‑to‑platelet ratio for predicting postoperative sepsis complications after ureteroscopic lithotripsy.Translational andrology and urology · 2025Article
- Article
- Development and validation of a deep learning-based automated computed tomography image segmentation and diagnostic model for infectious hydronephrosis: a retrospective multicentre cohort study.EClinicalMedicine · 2025Article
- Efficacy of combined rigid and flexible ureteroscopy for complex ureteral stones in type 2 diabetes mellitus.Frontiers in endocrinology · 2025Article
- Nomogram and scoring system for preoperative prediction of the risk of systemic inflammatory response syndrome in one-stage flexible ureteroscopy lithotripsy.Frontiers in surgery · 2025Article
- Risk factors for urosepsis following ureteroscopic lithotripsy: a systematic review and meta-analysis.Frontiers in surgery · 2025Review
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11 authors.
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Abstract
Objective: This retrospective study aims to identify risk factors for urogenic sepsis in patients with upper urinary tract stones following ureteral flexible lithotripsy (FURL). Additionally, we analyze the clinical characteristics of bacterial infections post-surgery. Methods: A total of 759 patients who underwent FURL at the Urology Department of Zunyi Medical University were included. Univariate and multivariate Logistic regression analyses were conducted to identify independent risk factors for urogenic sepsis post-FURL. The distribution of bacteria based on preoperative urine cultures was also analyzed. Statistical analysis was performed using R4.2.2 software. Results: Of the 759 patients, positive preoperative urine culture, urine nitrite positivity, urine white blood cell count (WBC) ≥ 200 cells/μL, residual stones, and neutrophil-to-lymphocyte ratio (NLR) were found to be independent risk factors for urogenic sepsis after FURL. Among the 164 patients with positive preoperative urine cultures, 32 developed urogenic sepsis post-surgery, with 68.75% having positive preoperative cultures. The leading pathogens causing postoperative urogenic sepsis were Conclusion: Positive preoperative urine culture, urine nitrite positivity, urine WBC ≥ 200 cells/μL, residual stones, and NLR are independent risk factors for urogenic sepsis after FURL.
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