International Urology and Nephrology (2018) 50:1067 https://doi.org/10.1007/s11255-018-1878-x UROLOGY - LE T TER TO THE EDITOR RE: Concordance of renal stone culture: PMUC, RPUC, RSC and post- PCNL sepsis-a non-randomized prospective observation cohort study 1 1 1 1 Ibrahim Halil Bozkurt · Ertugrul Sefik · Ismail Basmaci · Serdar Celik Received: 29 March 2018 / Accepted: 18 April 2018 / Published online: 5 May 2018 © Springer Science+Business Media B.V., part of Springer Nature 2018 Editor, have any impact on anticipating infectious complications in the current study? We have read the paper, “Concordance of renal stone cul- In the case of infectious complications, two aerobic hem- ture: PMUC, RPUC, RSC and post-PCNL sepsis-a non- ocultures in addition to a new PMUC were obtained from randomized prospective observation cohort study”  with each patient. The results of hemocultures were not given in great interest and appreciate the work of the authors. They results section. We think that it is very important data. How have tried to determine the association of post PCNL sep- many of the patients had positive hemocultures and does it sis with preoperative midstream urine cultures (PMUC), have concordance with PMUC, RPUC, or SC? renal stone cultures (RSC), and renal pelvic urine culture Stone-free rate was reported as 68.4% for staghorn stones (RPUC). They found that 24% had positive culture, 3.2% and 85.0% for for non-staghorn stones. In the case of resid- (4/122) PMUC, 14.7% (18/122) RPUC, and 13.9% (17/122) ual stones with positive stone culture what was the approach RSC. Seven patients (5.7%) developed postoperative infec- of the authors? Is it a risk factor for postoperative infectious tious complications. complication? We have a few queries. The authors stated that single-dose third generation ceph- Compliance with ethical standards alosporin was used for prophylaxis. We have read from the Conflict of interest Ibrahim Halil Bozkurt, Ismail Basmaci, Ertugrul paper of Lojanapiwat et al.  stating that the bacteria iso- Sefik, and Serdar Celik declares that they have no conflict of interest. lated from patients with sepsis revealed more resistance to ceftriaxone, ceftazidime, quinolones, and amoklavin-klavu- lonik asit, while being relatively more sensitive to amikacin, References ampicillin, vancomycin, and carbapenem. And these results guided the authors to rearrange the antibiotics used in the 1. Walton-Diaz A, Vinay JI, Barahona J et al (2017) Concordance of prophylaxis. The antibiogram of the positive cultures were renal stone culture: PMUC, RPUC, RSC and post-PCNL sepsis-a given as multisensitive and multiresistant in the recent paper. non-randomized prospective observation cohort study. Int Urol Nephrol 49:31–35 We kindly ask the authors what percent of these cultures 2. Lojanapiwat B, Kitirattrakarn P (2011) Role of preoperative and were third generation cephalosporin resistant? And does it intraoperative factors in mediating infection complication follow- ing percutaneous nephrolithotomy. Urol Int 86:448–452 * Ibrahim Halil Bozkurt firstname.lastname@example.org HSU Izmir Bozyaka Training and Research Hospital Urology Clinic, Saim Cikrikci Str. No:59, Karabaglar, Izmir, Turkey Vol.:(0123456789) 1 3
International Urology and Nephrology – Springer Journals
Published: May 5, 2018
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