Complications of percutaneous nephrostomy in a district general hospital

• Published in: Turkish journal of urology 2018-11, Vol.44 (6), p.478-483
• Main Authors: Turo, Rafal, Horsu, Seth, Broome, James, Das, Sanjay, Gulur, Dev Mohan, Pettersson, Bo, Doyle, Gerard, Awsare, Ninaad
• Format: Article
• Language: English
• Subjects: Audit departments; E coli; Endourology; Sepsis; Urology; Working hours
• ISSN: 2149-3235; 2149-3057; 2980-1478
• DOI: 10.5152/tud.2018.37336

Objective: Percutaneous nephrostomy (PCN) is one of the commonest procedures performed. There are currently no European recommendations on the accepted rate of complications. The aim of the present study is to report the complication rate of PCN with the specific emphasis on sepsis and septic shock, the causative organisms, sensitivities to antibiotics, and associated risk factors. Material and methods: Retrospectively collected data on patients undergoing acute or elective PCN at the Department of Radiology, Countess of Chester Hospital (COCH), in the UK between January 2014 and December 2016 were analyzed after the study was approved by Local Audit Department at COCH. Results: A total of 66 patients underwent 90 acute or elective PCNs. Three patients developed major post-PCN complication (two patients developed septic shock and the third suffered a hemorrhagic episode requiring blood transfusion). Nephrostomy tube complications (blockage, leaking, fracturing and kinking of the catheter) occurred in 4 patients. Complications were more common when the PCN was performed out of working hours (71.4% [10/14], and 17.3% [9/52] for PCNs performed within, and out of working hours, respectively: p