Antibiotic Prophylaxis and Infectious Complications in PNL

  • Oscar R. Negrete-PulidoEmail author
  • Jorge Gutiérrez-Aceves


Postoperative infection in PNL represents one of the most feared and life-threatening complications in current urologic practice. In this chapter the importance of a correct preoperative evaluation of the patient and of the related risk factors is described; adequate antibiotic prophylaxis and intraoperative measures to prevent the development of infectious adverse events are indicated; early postoperative signs that could anticipate the development of a sepsis, in order to achieve a timely diagnosis and establish early measures that consequently will reduce morbidity and mortality, are identified. These are the basic principles and key points that will help us to perform a secure PNL, limiting intraoperative risk.


Systemic Inflammatory Response Syndrome Infectious Complication Urine Culture Drotrecogin Alfa Nephrostomy Tube 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag France 2014

Authors and Affiliations

  • Oscar R. Negrete-Pulido
    • 1
    Email author
  • Jorge Gutiérrez-Aceves
    • 2
  1. 1.Department of Urology, Lithiasis and Endourology Clinic, UrologyHospital Ángeles LEÓN, Hospital Regional de Alta Especialidad del BajíoLeónMexico
  2. 2.Department of UrologyWake Forest School of Medicine, Medical Center BoulevardWinston-SalemUSA

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