title: Extracorporeal shock wave lithotripsy of kidney stones does not induce transient bacteremia. A prospective study. The Copenhagen Extracorporeal Shock Wave Lithotripsy Study Group.
abstract: During 58 extracorporeal shock wave lithotripsies 161 blood cultures were drawn to evaluate the incidence of bacteremia during the procedure. Only 3 blood cultures drawn during the procedure yielded bacteria, in all cases probably skin flora contaminants. Post-lithotripsy fever was noted in 29% of the patients, and could not be associated with transient bacteremia and was not influenced by antimicrobial prophylaxis. Patients with a positive urine culture after extracoporeal shock wave lithotripsy may have an increased risk of septicemia.
authors.affiliation: Department of Clinical Microbiology, Bispebjerg Hospital, University of Copenhagen, Denmark.
authors.forename: H
authors.initials: H
authors.lastname: Westh
authors.forename: F
authors.initials: F
authors.lastname: Knudsen
authors.forename: A M
authors.initials: AM
authors.lastname: Hedengran
authors.forename: M
authors.initials: M
authors.lastname: Weischer
authors.forename: P
authors.initials: P
authors.lastname: Mogensen
authors.forename: J T
authors.initials: JT
authors.lastname: Andersen
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006801:Humans; D007669:Kidney Calculi / Q000150:complications / Q000628:therapy*; D008096:Lithotripsy / Q000009:adverse effects*; D008875:Middle Aged; D011446:Prospective Studies; D018805:Sepsis / Q000209:etiology* / Q000382:microbiology / Q000517:prevention & control; D014552:Urinary Tract Infections / Q000150:complications / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents