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International Journal of Surgery Science
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International Journal of Surgery Science
Vol. 4, Issue 4, Part A (2020)

A study of intra-operative urine and stone culture in PCNL (Percutaneous nephrolithotomy operations)

Author(s): Dr. Nandakishore B
Abstract:
Introduction: Calculus renal disease is one of the commonest problems encountered in general urology practice and PCNL is the main stay of treatment for these patients with sizable renal calculi. Infective complications of PCNL are though not common can result in significant morbidity and even mortality. Postoperative urinary tract infections (UTIs), Secondary haemorrhage of infective origin, and, Surgical site infections (SSIs), are known infection related complications of Percutaneous Nephrolithotomy (PCNL), leading to significant morbidity. Sepsis, bacteruria, septicemic shock are also known and reported in many studies. The effectiveness of perisurgical antimicrobial prophylaxis in reducing postoperative infective complications are well known. This study puts in an effort to find and understand the intra-operative urine and stone culture to give better prophylactic antibiotics.
Aims and Objectives: To find and understand the intra-operative urine and stone culture.
Methodology: It is a prospective study conducted between February 2019 – July 2020 in the Department of urology Father Muller Medical College, Mangalore. All patients presented to our centre and underwent Percutaneous Nephrolithotomy. The Sample size was 191 patients and Study group consisted of Patients clinically and radiologically diagnosed with renal stone.
Results: Pre-operative urine culture was negative in all patients. 140 patients were negative for intra-operative stone and urine culture. 65 cases were reported positive for culture.
Conclusions: According to our study intra-operative urine and stone culture is a valuable tool for early detection and with prompt early treatment of the infective complication will reduce postoperative morbidity.
Pages: 36-39  |  109 Views  43 Downloads
How to cite this article:
Dr. Nandakishore B. A study of intra-operative urine and stone culture in PCNL (Percutaneous nephrolithotomy operations). Int J Surg Sci 2020;4(4):36-39. DOI: https://doi.org/10.33545/surgery.2020.v4.i4a.836
International Journal of Surgery Science