Risk Factors for Urinary Lithotripsy-Associated Sepsis

Abstract

AbstractObjectives: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.