Value analysis of albumin to globulin ratio in the early diagnosis of febrile urinary tract infection after ureteroscopic lithotripsy
Objective:To explore the value of albumin to globulin ratio(AGR)in the early diagnosis of febrile urinary tract infection(UTI)after ureteroscopic lithotripsy(URS).Methods:A retrospective analysis was conducted on the clinical data of 280 patients who underwent URS in our hospital from May 2021 to December 2022.They were divided into an infected group(78 cases)and an uninfected group(202 cases)based on whether febrile UTI occurred.The levels of AGR,CRP,and PCT was compared between the two groups,and ROC curve analysis was used to evaluate the diagnostic value of AGR,CRP,and PCT for febrile UTI in patients after URS.Results:The levels of AGR,CRP,and PCT in the infected group were higher than those in the uninfected group(P＜0.05).The areas under the curve of AGR,CRP,PCT,and combined diagnosis were 0.729,0.836,0.841,and 0.943,respectively,which indicated all of them had diagnostic value.The independent risk factors for febrile UTI after URS were AGR≥1.51,CRP≥79.6 mg/L,PCT≥1.6 μg/L,complicated with diabetes,complicated with chronic renal insufficiency,operation time≥90 min,and stone size≥3 cm(P＜0.05).Conclusion:AGR can effectively diagnose febrile UTI after URS in the early stage.There are many independent risk factors for febrile UTI after URS.Clinical attention should be paid to take targeted intervention measures based on these risk factors.
albumin to globulin ratioureteroscopic lithotripsyfebrile urinary tract infection
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