Mhamid Aaisha, Taha Rand, Ibrahem Rasheed, Hijaz Hatim, Bustame Samer, Shawahna Ramzi
Department of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine.
An-Najah National University Hospital, Nablus, Palestine.
BMC Urol. 2025 Aug 2;25(1):187. doi: 10.1186/s12894-025-01888-3.
Reports on the incidence of urinary tract infections following flexible ureteroscopy in Palestine are scarce. This study aimed to assess the incidence of urinary tract infections after flexible ureteroscopy and to identify the risk factors that predict their occurrence among patients treated with this procedure in Palestinian clinical practice.
This was a prospective cohort study that aimed to assess the incidence rate of postoperative urinary tract infections among patients who underwent flexible ureteroscopy in Palestinian clinical practice. The study was conducted between October 2023 and January 2025 in four different hospitals in the West Bank of Palestine.
A total of 253 patients were included in this study. Of the patients, 31 (12.3%) had urinary tract infections. Enterococcus faecalis was the most common causative agent. Multiple linear regression showed that the occurrence of post-flexible ureteroscopy urinary tract infections was significantly predicted by the postoperative red blood cell count (p-value = 0.033). Multivariate logistic regression demonstrated that patients with a documented urinary tract infection within the preceding 90 days had significantly greater odds of developing a post-flexible ureteroscopy urinary tract infection (OR = 3.34; 95% CI: 1.35-19.82). Furthermore, the absence of preoperative prophylactic antibiotic administration was independently associated with increased risk (OR = 4.66; 95% CI: 1.29-16.81) for a post-flexible ureteroscopy urinary tract infection.
The incidence rate of post-flexible ureteroscopy urinary tract infections in Palestinian clinical practice was within the range reported globally. The findings of this study emphasize the need for tailored, preventive measures, including enhanced preoperative risk assessment, optimized antibiotic management, and rigorous postoperative surveillance.
关于巴勒斯坦地区软性输尿管镜检查后尿路感染发生率的报告很少。本研究旨在评估软性输尿管镜检查后尿路感染的发生率，并确定在巴勒斯坦临床实践中接受该手术的患者中预测其发生的危险因素。
这是一项前瞻性队列研究，旨在评估巴勒斯坦临床实践中接受软性输尿管镜检查的患者术后尿路感染的发生率。该研究于2023年10月至2025年1月在巴勒斯坦西岸的四家不同医院进行。
本研究共纳入253例患者。其中，31例（12.3%）发生尿路感染。粪肠球菌是最常见的病原体。多元线性回归显示，术后红细胞计数显著预测了软性输尿管镜检查后尿路感染的发生（p值 = 0.033）。多因素logistic回归表明，在过去90天内有尿路感染记录的患者发生软性输尿管镜检查后尿路感染的几率显著更高（OR = 3.34；95% CI：1.35 - 19.82）。此外，术前未给予预防性抗生素独立增加了软性输尿管镜检查后尿路感染的风险（OR = 4.66；95% CI：1.29 - 16.81）。
巴勒斯坦临床实践中软性输尿管镜检查后尿路感染的发生率在全球报告的范围内。本研究结果强调了采取针对性预防措施的必要性，包括加强术前风险评估、优化抗生素管理和严格的术后监测。
