OBJECTIVES: In the immediate postoperative period after percutaneous stone removal, body temperature elevations are common. Pyrexia after a percutaneous nephrolithotomy (PCNL) generates concern because of the possibility of urinary extravasation and @entity2259 . We reviewed our experience with PCNL to determine the clinical significance of a @entity86 before discharge from the hospital. METHODS: Between July 1994 and December 1996, 63 @entity1 underwent 69 PCNLs. Each had documented negative urine cultures preoperatively and received prophylactic antibiotics at the time of surgery. For each case, clinical and operative charts were reviewed to determine stone composition, @entity221 during hospital stay, postoperative bacteriologic cultures, postoperative white blood cell count (WBC), and clinical course. RESULTS: Complete data were available for 66 procedures. Eight @entity1 (12%) had at least one body temperature reading between 38.0 and 38.5 degrees C. Eleven @entity1 (16.7%) had at least one temperature greater than 38.5 degrees C. Each @entity1 with a temperature greater than 38.5 degrees C was hemodynamically stable with negative blood and urine cultures. No @entity1 with a @entity221 between 38.0 and 38.5 degrees C was cultured. Stone analysis did not demonstrate any association between @entity86 (including 22 struvite stones). Postoperative WBC also did not predict pyrexia. Fever alone did not prolong hospital stay. CONCLUSIONS: In @entity1 with negative urine cultures who are prophylaxed with immediate preoperative antibiotics and maintained on postoperative antibiotics, pyrexia after PCNL does not require an immediate bacteriologic evaluation in those who are hemodynamically stable.

Clinical significance of XXXX after percutaneous nephrolithotomy.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever'] @entity2259 :: ('MESH:D016470', 'Disease') :: ['bacteremia'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative fever', 'postoperative fever and stone composition']
@entity221 :: (MESH:D005334,Disease) :: ['fever']
