Analysis of Risk Factors for Perioperative Sepsis in Urinary Calculi
by Zhuo Li, Huan Han, Yuyao Zhai, Peng Zhang, Juan Ma, Wanli Duan
Reports in Clinical Studies and Medicine, Vol.5, No.2, 2023;
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The risk factors for perioperative sepsis were investigated in patients with urinary calculi in order to propose targeted interventions. Patients discharged from a 3A hospital with a diagnosis of urinary calculi co-infection in 2020 were retrospectively analyzed and grouped according to whether sepsis occurred in the perioperative period, and the clinical data of the two groups were compared. A total of 435 patients discharged with a diagnosis of urinary calculi co-infection were collected, and urogenic sepsis occurred in 23 cases, with an overall incidence of 5.3%. Univariate analysis showed that gender, abnormal blood leukocyte count on admission, positive urine culture results, carbon dioxide binding capacity and blood creatinine values were risk factors for the development of urogenital sepsis in patients with urinary calculi after surgery ( P<0 .05), while preoperative prophylaxis was a protective factor ( P <0.05). Multifactorial logistic regression analysis showed that preoperative blood leukocyte values, urine culture results, and blood creatinine values were independent risk factors for the development of urogenic sepsis in patients with urinary calculi after surgery.
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