TREATMENT UPPER URINARY TRACT INFECTION IN THE PATIENT WITH OBSTRUCTIVE UROLITHIASIS

Abstract

Purposes: Evaluation of the result treatment upper urinary tract infection in the patient with obstructive urolithiasis. Participants and Methods: 9 patients with obstructive pyelonephritis urolithiasis from October 2015 to May 2016 at Hue Univesity Hospital. Results: Male:female ratio was 1: 3.5. Median age was 58.59 ± 8.62 years (range 48–71 years). The clinical findings when admitted at hospital were as follows: body temperature 38.82 ± 0.74°C, pulse rate 93.89 ± 11.42/min, respiratory rate 19.89 ± 1.45/min, Systolic blood pressure 126.67 ± 21.79 mmHg, diastolic blood pressure 78.89 ± 6.00 mmHg. The laboratory results were as follows: WBC: 14.22 ± 5.7 G/l, platelets 262.67 ± 106.54 G/l, serum creatinine 133 ± 55.5 umol/l, serum CRP 118.94 ± 88.92 mg/l, serum procalcitonin 4.32 ± 9.02 ng/ml. The right-side ureteric stones were found in 6 patients (66.7%), the left-side stones were found in 3 patients (33.3%). The average size of the stones was 23.67 ± 11.88 mm. 9 patients (100%) received transurethral stenting using a double-J ureteral catheter. All patients received antimicrobial therapies. After the drainage of the upper urinary tract and using antimicrobial therapies, clinical and laboratory condition of most of patients was improved significantly (fever had broken, no pain at the lumbar region, kidney vibration was painless). Conclusions: Upper urinary tract infection in patients with obstructive urolithiasis was urological emergency condition. It is necessary to have early treatment to avoid urosepsis, shock sepsis. Key words: upper urinary, obstructive urolithiasis