Clinical-epidemiological characteristics of septic renal colic and its therapeutic management
Keywords:
RENAL COLIC, SEPSIS, OBSTRUCTION.Abstract
Introduction: septic renal colic is produced by an obstructive calculus of the urinary tract which is complicated by the localization of germs in the urine retained in the urinary tract.
Objective: to characterize the clinical, epidemiological behavior and therapeutic management of patients with septic renal colic in Pinar del Río, between 2016 and 2019.
Methods: an observational, descriptive research was carried out, with a target group of 186 patients and the sample consisted of 124 patients. The following data were collected from the medical records: age, sex, causes and clinical forms of septic renal colic, as well as the treatment applied. A database was prepared where qualitative variables were expressed in absolute frequencies and the relative in percentages.
Results: a predominance of patients in the fifth and third decade of life with 22,6 % and 21,0 % of patients respectively was found, 60,5 % of them were male. Renal lithiasis was the predominant cause in 89,5 % of patients, being febrile renal colic the most frequent clinical form. Most were treated with cephalosporin (96,8 %) and nitronidazole (95,2 %). Endoscopic surgery was performed in 69,9 % and percutaneous nephrostomy in 54,2 %.
Conclusions: septic nephritic colic was more frequent in the fifth decade of life in male sex, being febrile renal colic the clinical form and lithiasis the most frequent cause, in most patients endoscopic surgery was used for its resolution applying cefazolin and nitronidazole as antimicrobials.
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