| Abstract | UVOD: Provedeno je retrospektivno istraživanje koje je obuhvaćalo pacijente koji su bili hospitalizirani zbog planiranog operativnog zahvata ureterorenoskopije i/ili fleksibilne ureterorenoskopije na odjelu urologije Opće bolnice Varaždin u razdoblju od 01.01.2018. do 31.12.2019.
METODE: Podatci o pacijentima koji su bili hospitalizirani na odjelu urologije OB Varaždin u navedenom razdoblju prikupljani su iz bolničkog informacijskog sustava (BIS). Analizirani su podaci koji se odnose na dob, spol, dijagnozu, vrstu operativnog zahvata, terapijski postupci provedeni tijekom hospitalizacije i/ili prilikom kontrolnog pregleda, tijek liječenja i eventualne komplikacije. Podatci su prikupljani tijekom lipnja i srpnja 2020. godine.
REZULTATI: Više od polovice ispitanika činile su žene. Prosječna dob ispitanika je bila 58,74 (raspon 23-88), a gotovo polovica ispitanika je bila u dobi od 61-88 godina. Većina od 84,66% ispitanika na planiranom operativnom zahvatu je bilo samo jedanput, a prosječna duljina trajanja boravka u bolnici pacijenata koji su bili na zahvatu URS/FURS bila je 3,5 dana. Postavljenu “JJ” protezu prije prve hospitalizacije imala je trećina žena, dok je kod rehospitaliziranih, postavljenu protezu imalo više od dvije trećine ukupnih ispitanika. Perkutana nefrostoma bila je prethodno postavljena samo kod 5,39% ispitanika tijekom prve hospitalizacije. Od ispitanika koji su imali prvu hospitalizaciju, 25,25% je imalo pozitivnu urinokulturu, a od rehospitaliziranih 31,43%. U najvećem postotku u nalazu urinokulture tijekom prve hospitalizacije detektirane su redom prema udjelu: E. coli, Enterococcus faecalis, Proteus mirabilis i Citrobacter koseri, a kod rehospitalizacije: E. coli, E. coli ESBL i Enterococcus faecalis. Prisustvo bakterija u urinu u znatno većem postotku bilo je zabilježeno kod žena. Od ispitanika koji su imali pozitivnu urinokulturu tijekom prve hospitalizacije, kod čak 30,95% je zabilježena prisutnost rezistentnih patogenih uzročnika: E. coli, E. coli ESBL, Pseudomonas aeruginosa, Proteus mirabilis, Klebsilla oxytoca i Staphylococcus aureus.
ZAKLJUČAK: Učestalost urolitijaze bilježi porast kod žena, kao i pozitivna urinokultura, dok se trajanje duljine boravka u bolnici skraćuje ovisno o zahvatu. Kod rehospitalizacije je zabilježen porast pozitivne urinokulture. Najčešće prisutni uzročnici su E. coli i Enterococcus faecalis, a rezistentni E. coli i E. coli ESBL. S obzirom na rezultate, potrebna su dodatna istraživanja kako bi dobili opsežniju analizu. |
| Abstract (english) | INTRODUCTION: A retrospective study was conducted, which included patients who were hospitalized in the period from January 1, 2018. to December 31, 2019 due to planned surgery ureterorenoscopy and/or flexible ureterorenoscopy (URS/FURS) in the Department of Urology at the Varaždin General Hospital (GH).
METHODS: Data on patients hospitalized in the Department of Urology GH Varaždin in the given period were collected from the Hospital Information System (BIS). Data on age, sex, diagnosis, type of surgery, therapeutic procedures and/or check-ups performed during hospitalization, course of treatment and possible complications were analyzed. The data were collected in June and July 2020.
RESULTS: More than half of the respondents were women. The average age of the respondents was 58.74 years (range 23-88) and almost half of the respondents were between 61 and 88 years old. The majority of 84.66% of the respondents underwent only one planned operation, and the average length of hospital stay of patients undergoing surgery at URS/FURS was 3.5 days. One third of the women had a "JJ" prosthesis before their first hospital stay, while in rehospitalized patients, more than two thirds of the total number of subjects had a prosthesis. Percutaneous nephrostomy was previously performed in only 5.39% of patients during their first hospital stay. Of the persons who were hospitalized for the first time, 25.25% had a positive urine culture, and of the rehospitalized persons 31.43% had a positive urine culture. In the highest percentage of urine culture findings during the first hospitalization, E. coli, Enterococcus faecalis, Proteus mirabilis and Citrobacter koseri were detected, respectively, and in rehospitalization: E. coli, E. coli ESBL and Enterococcus faecalis. In women, the presence of bacteria in urine was found in a significantly higher percentage. Of the subjects who showed a positive urine culture during their first hospital stay, as many as 30.95% showed the presence of resistant pathogens: E. coli, E. coli ESBL, Pseudomonas aeruginosa, Proteus mirabilis, Klebsilla oxytoca and Staphylococcus aureus.
CONCLUSIONS: The incidence of urolithiasis increases in women, as does the positive urine culture, while the length of hospital stay is shortened depending on the procedure. An increase in positive urine culture was observed during rehospitalization. The most common pathogens were E. coli and Enterococcus faecalis as well as resistant E. coli and E. coli ESBL. In view of the results, further investigations are necessary to obtain more comprehensive analysis. |
