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[结石患者的尿路感染]

[Urinary tract infection in patients with calculi].

作者信息

Petkovic S, Ostojic B

出版信息

J Urol (Paris). 1983;89(8):561-4.

PMID:6677702
Abstract

The authors review a series of 2,475 cases of patients operated for renal calculi and select 843 files in which the bacteriological study was performed. E. coli is the most common organism (29.8%) compared with Proteus which infects 21% of patients. 71.5% of the patients were infected. Bilateral calculi are the most heavily infected. Kidneys containing calculi which were subjected to a complex operation involving the parenchyma (nephrotomies) were the most difficult to disinfect, even in the absence of recurrence. Conversely, in the absence of recurrence, simple operations (pyelotomy, partial nephrectomy) provide disinfection in the majority of cases. In the authors' series, E. coli remains the organism most frequently encountered, even in cases of recurrence. Proteus and Pyocyanicus are the most difficult organisms to eradicate.

摘要

作者回顾了一系列2475例接受肾结石手术的患者,并选取了843份进行了细菌学研究的病例档案。大肠杆菌是最常见的病原体(29.8%),相比之下,变形杆菌感染了21%的患者。71.5%的患者受到感染。双侧结石感染最为严重。即使在没有复发的情况下,进行涉及实质(肾切开术)的复杂手术的肾结石肾脏最难消毒。相反,在没有复发的情况下,简单手术(肾盂切开术、部分肾切除术)在大多数情况下能实现消毒。在作者的系列病例中,即使在复发的病例中,大肠杆菌仍然是最常遇到的病原体。变形杆菌和绿脓杆菌是最难根除的病原体。

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