Evaluation of Sepsis Development after Urologic Interventions

Abstract

Introduction: Urologic interventions increase the frequency of urinary system infections. The aim of this study was to evaluate the rates of sepsis after urologic interventions in Pamukkale University.

Methods: Infectious Diseases and Clinical Microbiology Physician diagnosed sepsis in 84 of the 1170 patients who underwent surgical intervention.

Results: The frequency of sepsis after urologic interventions was 7.2%. Percutaneus nephrolithotomy, extracorporeal shock wave lithotripsy, transurethral resection of the prostate and bladder were the most frequent interventions causing sepsis development. The most commonly isolated pathogen was Escherichia coli with a rate of 45.2%.

Conclusion: Primary bloodstream infection was determined in 1.2% of the patients and secondary bloodstream infection due to urinary system infection was determined in 59.5% of the patients. Thirty-three (39.3%) patients were diagnosed as clinical sepsis.