Baboudjian et al identified risk factors for a urinary tract infection (UTI) after flexible ureteroscopy. These can help to identify a patient who may benefit from more aggressive management. The authors are from Aix-Marseille University in France.
Patient selection: flexible ureteroscopy
Reason for procedure: nephrolithiasis, upper urinary tract urothelial carcinoma
Patient preparation: use of a ureteral access sheath, antibiotic prophylaxis, preoperative urine culture
Risk factors for UTI after the procedure:
(1) female sex (odds ratio 2.2)
(2) history of UTI within the past 6 months (odds ratio 2.3)
(3) preoperative polymicrobial urine culture (odds ratio 4.5)
(4) increased operative time (odds ratio 1.02
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