Risk factors for urinary lithotripsy-associated sepsis.
OBJECTIVE
To identify risk factors for sepsis following urinary extracorporeal shock wave lithotripsy (ESWL).


METHODS
Retrospective case-control study with two control groups.


METHODS
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.
Department of Infectious Disease, Geisinger Medical Center, Danville, PA 17822.
R
R
Orenstein
J E
JE
Bross
M
M
Dahlmann
D016470:Bacteremia / Q000209:etiology*; D016022:Case-Control Studies; D005260:Female; D016469:Fungemia / Q000209:etiology*; D006746:Hospital Bed Capacity, 500 and over; D006780:Hospitals, Rural; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors; D014545:Urinary Calculi / Q000473:pathology / Q000628:therapy*; D014552:Urinary Tract Infections / Q000150:complications