Publications by authors named "Stefan Gheorghinca"
Article Synopsis
- The increase in kidney stone cases can lead to serious complications, including kidney damage and potentially death due to infections.
- A case involving a 40-year-old woman showed that undetected stones can result in severe hydronephrosis and infection, requiring multiple procedures for effective treatment.
- Proper management of pyonephrosis is critical, as incomplete removal of infected material can lead to septic shock, necessitating urgent medical intervention before more invasive surgeries like nephrectomy.
: Although rare, Fournier's gangrene is a major urological emergency. We aimed to learn more about the pathogenesis of Fournier's gangrene and assess the antibiotic resistance patterns in individuals with this disease. : We retrospectively evaluated the patients diagnosed with and treated for Fournier's gangrene in a Neamt county hospital and "CI Parhon" Clinical Hospital in Iasi, Romania between 1 January 2016 and 1 June 2022.
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- The study investigates the rise of infectious complications associated with percutaneous nephrolithotomy (PCNL), highlighting that infections are becoming more common with these procedures.
- A systematic search of medical databases yielded 18 relevant articles covering 7,507 patients, all of whom received antibiotic prophylaxis and some were treated for infections before surgery.
- Findings indicate that longer operative times, positive preoperative urine cultures, and multi-tract PCNL significantly increase the risk of developing postoperative sepsis/SIRS, while factors like age and body mass index show no notable impact on patient outcomes.