Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
BMC Urology
Published in: BMC Urology 1/2018

Open Access 01-12-2018 | Research article

Risk factors for urinary tract infection in patients with urolithiasis—primary report of a single center cohort

Authors: Li Yongzhi, Yan Shi, Liu Jia, Liu Yili, Zhu Xingwang, Gong Xue

Published in: BMC Urology | Issue 1/2018

Login to get access

Abstract

Background

Urinary tract infection (UTI) is very common in patients with urolithiasis, which makes the treatment of urolithiasis complicated, even dangerous. The objective of this study was to determine the risk factors for UTI in patients with urolithiasis.

Methods

Eight hundred six patients with urolithiasis were retrospectively evaluated in the fourth affiliated hospital of China Medical University. All patients admitted to the study were divided into either a UTI infection group or a non-infection group. Sex, age, smoking, stone shape, alcohol consumption, position of stones, and presence of obstruction were used as exposure factors for the cross-sectional study.

Results

One hundred seventy-eight patients (22.0%) had UTI. Through a urine culture test, gram-negative bacilli were the most common pathogen, followed by gram-positive bacilli and fungi.

Conclusions

Sex, age, obstruction, stone shape, and multiple sites of stones could be considered the independent factors for UTI in patients with urolithiasis; smoking and drinking had no statistically significant correlation with the condition. Gram-negative bacilli are the most common pathogen in UTI in patients with urolithiasis.
Literature
1.
2.
3.
Stamatelou KK, Francis ME, Jones CA, Nyberg LM, Curhan GC. Time trends in reported prevalence of kidney stones in the United States: 1976-1994. Kidney Int. 2003;63:1817–23.CrossRefPubMed
4.
Hesse A, Brändle E, Wilbert D, Köhrmann KU, Alken P. Study on the prevalence and incidence of urolithiasis in Germany comparing the years 1979 vs. 2000. Eur Urol. 2003;44:709–13.CrossRefPubMed
5.
Bichler KH, Eipper E, Naber K, Braun V, Zimmermann R, Lahme S. Urinary infection stones. Int J Antimicrob Agents. 2002;19:488–98.CrossRefPubMed
6.
Bierkens AF, Hendrikx AJ, Ezz el Din KE, de la Rosette JJ, Horrevorts A, Doesburg W, Debruyne FM. The value of antibiotic prophylaxis during extracorporeal shock wave lithotripsy in the prevention of urinary tract infections in patients with urine proven sterile prior to treatment. Eur Urol. 1997;31:30–5.CrossRefPubMed
7.
Korets R, Graversen JA, Kates M, Mues AC, Gupta M. Post-percutaneous nephrolithotomy systemic inflammatory response: a prospective analysis of preoperative urine, renal pel-Vic urine and stone cultures. J Urol. 2011;186:1899–903.CrossRefPubMed
8.
Schwartz BF, Stoller ML. Nonsurgical management of infection-related renal calculi. Urol Clin N Am. 1999;26:765–78.CrossRef
9.
Wong HY, Riedl CR, Griffith DP. The effect of iontophoresis on bacterial growth in urine. J Urol. 1995;154:1944–7.CrossRefPubMed
10.
Li K, Liu C, Zhang X, Liu Y, Wang P. Risk factors for septic shock after mini-percutaneous nephrolithotripsy with holmium laser. Urology. 2013;81:1173–6.CrossRefPubMed
11.
Liu C, Zhang X, Liu Y, Wang P. Prevention and treatment of septic shock following mini-percutaneous nephrolithotomy: a single-center retrospective study of 834 cases. World J Urol. 2013;31:1593–7.CrossRefPubMed
12.
Liu CC, Huang SP, Wu WJ, Chou YH, Juo SH, Tsai LY, Huang CH, Wu MT. The impact of cigarette smoking, alcohol drinking and betel quid chewing on the risk of calcium urolithiasis. Ann Epidemiol. 2009;19:539–45.CrossRefPubMed
13.
Cope M, Cevallos ME, Cadle RM, Darouiche RO, Musher DM, Trautner BW. Inappropriate treatment of catheter-associated asymptomatic bacteriuria in a tertiary care hospital. Clin Infect Dis. 2009;48:1182–8.CrossRefPubMed
14.
Lee CH, Wu DC, Lee JM, Wu IC, Goan YG, Kao EL. Anatomical subsite discrepancy in relation to the impact of the consumption of alcohol, tobacco and betel quid on esophageal cancer. Int J Cancer. 2007;120:1755–62.CrossRefPubMed
15.
Daudon M, Dore J-C, Jungers P. Changes in stone composition according to age and gender of patients: a multivariate epidemiological approach. Urol Res. 2004;32:241–7.CrossRefPubMed
16.
Knoll T, Schubert AB, Fahlenkamp D, Leusmann DB, Wendt-Nordahl G, Schubert G. Urolithiasis through the ages: data on more than 200,000 urinary stone analyses. J Urol. 2011;185:1304–11.CrossRefPubMed
17.
Nicolle LE. Uncomplicated urinary tract infection in adults including uncomplicated pyelonephritis. Urol Clin North Am. 2008;35:1–12.CrossRefPubMed
18.
19.
Preminger GM, Assimos DG, Lingeman JE, Nakada SY, Pearle MS, Wolf JS Jr. AUA guideline on Management of Staghorn Calculi: diagnosis and treatment recommendations. J Urol. 2005;173:1991–2000.CrossRefPubMed
20.
Vargas AD, Bragin SD, Mendez R. Staghorn calculus: its clinical presentation, complications and management. J Urol. 1982;127:860–2.CrossRefPubMed
21.
Preminger GM, Assimos DG, Lingeman JE. Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. J Urol. 2005;173:1991–2000.CrossRefPubMed
22.
Mooser V, Burnier M, Nussberger J, Juillerat L, Waeber B, Brunner HR. Effects of smoking and physical exercise on platelet free cytosolic calcium in healthy normotensive volunteers. J Hypertens. 1989;7:211–6.CrossRefPubMed
23.
Scott R, Cunningham C, McLelland A, Fell GS, Fitzgerald-Finch OP, McKellar N. The importance of cadmium as a factor in calcified upper urinary tract stone diseaseda prospective 7-year study. Br J Urol. 1982;54:584–9.CrossRefPubMed
24.
Hamano S, Nakatsu H, Suzuki N, Tomioka S, Tanaka M, Murakami S. Kidney stone disease and risk factors for coronary heart disease. Int J Urol. 2005;12:859–63.CrossRefPubMed
25.
Zhanel GG, DeCorby M, Adam H, Mulvey MR, McCracken M, Lagacé-Wiens P, Nichol KA, Wierzbowski A, Baudry PJ, Tailor F, Karlowsky JA, Walkty A, Schweizer F, Johnson J, Canadian Antimicrobial Resistance Alliance, Hoban DJ. Prevalence of antimicrobial resistance pathogens in Canadian hospitals: results of the Canadian ward surveillance study (CANWARD 2008). Antimicrob Agents Chemother. 2010;54:4684–93.CrossRefPubMedPubMedCentral
26.
Lu PL, Liu YC, Toh HS, Lee YL, Liu YM, Ho CM, Huang CC, Liu CE, Ko WC, Wang JH, Tang HJ, Yu KW, Chen YS, Chuang YC, Xu Y, Ni Y, Chen YH, Hsueh PR. Epidemiology and antimicrobial susceptibility profiles of gram-negative bacteria causing urinary tract infections in the Asia-Pacific region: 2009-2010 results from the study for monitoring antimicrobial resistance trends (SMART). Int J Antimicrob Agents. 2012;40(S1):S37–43.CrossRefPubMed
Metadata
Title
Risk factors for urinary tract infection in patients with urolithiasis—primary report of a single center cohort
Authors
Li Yongzhi
Yan Shi
Liu Jia
Liu Yili
Zhu Xingwang
Gong Xue
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Urology / Issue 1/2018
Electronic ISSN: 1471-2490
DOI
https://doi.org/10.1186/s12894-018-0359-y

Other articles of this Issue 1/2018

BMC Urology 1/2018 Go to the issue

Research article

Gastrointestinal cancer and bilateral hydronephrosis resulted in a high risk of ureteral stent failure

Research article

Expression, localisation and potential significance of aquaporins in benign and malignant human prostate tissue

Research article

Expression and clinical significance of Caveolin-1 in prostate Cancer after transurethral surgery

Research article

Systemic analysis of urinary stones from the Northern, Eastern, Central, Southern and Southwest China by a multi-center study

Research article

The Terry Fox Research Institute Canadian Prostate Cancer Biomarker Network: an analysis of a pan-Canadian multi-center cohort for biomarker validation

Research article

Detection of micro-metastases by flow cytometry in lymph nodes from patients with penile cancer