Stone culture in patients undergoing percutaneous nephrolithotomy: a practical point of view
Amihay Nevo1,2, Roy Mano1,2, Ohad Shoshani1,2, Gherman Kriderman1,2, Eran Schreter1,2, David Lifshitz1,2
Canadian Journal of Urology, Vol.25, No.2, pp. 9238-9244, 2018
Abstract Introduction: This study aims to determine the clinical yield of stone culture in patients undergoing percutaneous nephrolithotomy (PCNL) and to identify those who may benefit from this test, particularly in predicting postoperative infections and guiding antimicrobial therapy.
Materials and methods: We reviewed our institutional database for all patients who underwent PCNL between 2005 and 2017 and from whom both urine culture (UC) and stone culture (SC) results were available. The primary endpoint was the development of systemic inflammatory response syndrome (SIRS) within 48 hours post-procedure. Risk factors for SIRS and for stone colonization with highly resistant pathogens… More >