TY - JOUR T1 - Urinary sepsis after endourological ureterorenoscopy for the treatment of lithiasis JO - Actas Urológicas Españolas (English Edition) T2 - AU - Díaz Pérez,D. AU - Laso García,I. AU - Sánchez Guerrero,C. AU - Fernández Alcalde,Á. AU - Ruiz Hernández,M. AU - Brasero Burgos,J. AU - Lorca Álvaro,J. AU - Duque Ruiz,G. AU - Arias Funez,F. AU - Burgos Revilla,F.J. SN - 21735786 M3 - 10.1016/j.acuroe.2019.05.002 DO - 10.1016/j.acuroe.2019.05.002 UR - https://www.elsevier.es/en-revista-actas-urologicas-espanolas-english-392-articulo-urinary-sepsis-after-endourological-ureterorenoscopy-S217357861930068X AB - ObjectiveTo evaluate the incidence, clinical presentation and factors associated with the development of urinary sepsis after performing ureterorenoscopy. Material and methodsRetrospective study of patients undergoing ureterorenoscopy for the treatment of lithiasis between July 2015 and October 2017. Patients who developed urinary sepsis during the 30 days following the intervention were identified. Personal, clinical, surgical and microbiological backgrounds were collected. Statistical analysis was performed with the Chi squared test (or Fisher's exact test), Student's t (or U Mann–Whitney) or logistic regression as appropriate. Results246 ureterorenoscopies were performed, 184 (74.8%) on ureteral stones and 62 (25.2%) on kidney stones, with a mean age of 52 (44.5–59.5) years. After procedure, 18 (7.3%) patients developed urinary sepsis, 10 of them (55.5%) occurred in the first 24h. The urine culture showed enterobacteria (61.1%) and enterococci (38.9%). The antibiogram showed greater sensitivity to nitrofurantoins (100%) and quinolones (72%). The statistical analysis showed that female sex, the clinical debut of urolithiasis as urinary sepsis, having received antibiotic or having required urinary diversion by a double J during debut, positive presurgical uroculture and the persistence of residual lithiasis after surgery were significantly associated (p<0.05) with the development of urinary sepsis after ureterorenoscopy. ConclusionUrinary sepsis is a complication that appears after performing ureterorenoscopy, especially in female patients with a history of urinary sepsis, antibiotic therapy, double J, previous positive urine culture or residual lithiasis after the procedure. ER -