National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
This prospective study was done to determine correlation between urine and/or stone cultures with postoperative sepsis in patients treated for renal and ureteral calculi. This prospective study was carried out in Department of Microbiology, Government medical college Kota between July 2015 and June 2016. The incidence of renal stone was more in male (N 70) (70%) as compared with female (N 30) (30%) i.e., in the ratio of 2:1. Urine culture was positive more in females (63.67% in female vs. 37.32% in male approx. ratio 2:1), however infected stone rates are almost similar in male and female (64.67% in male vs. 62.60% in female). Out of 100 patients 43 cases showed infection in preoperative urine culture, while rests 57 were sterile. Similarly 64 patients were positive for stone culture and rest 36 were sterile. 28 patients had both stone and urine culture positive. Most common bacteria isolated in urine culture were E. coli, Klebsiella positive urine culture) cases. Post operatively 35% (N 35) patient show signs of SIRS. Out of 35 patients who had sepsis 30 patients were positive for stone culture while 20 patients were positive for urine culture. The result was significant on chi square test (Observed P value is 0.036). The results of this study suggest that in patients undergoing surgery for urolithiasis, stone cultures are better predictors of urosepsis than bladder urine C and S. Positive stone culture may guide clinicians regarding selection of antibiotics, especially in cases of severe urosepsis.
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