Published online by Cambridge University Press: 21 June 2016
To identify risk factors for sepsis following urinary extracorporeal shock wave lithotripsy (ESWL).
Retrospective case-control study with two control groups.
A rural, 570-bed, regional referral center.
Six cases (four bacteremias and two fungemias) were compared with two sets of 18 controls. Cases had a higher frequency and number of urinary tract infections prior to the procedure and tended to have larger stone size.
Patients undergoing ESWL who are at high risk for infectious complications may be identified by preprocedure evaluation. Such patients may require alternative prophylactic regimens and close postprocedure follow-up.