A Prospective Korean Multicenter Study for Infectious Complications in Patients Undergoing Prostate Surgery: Risk Factors and Efficacy of Antibiotic Prophylaxis

被引：13

作者：

Hwang, Eu Chang ^{[1
]}

Jung, Seung Il ^{[1
]}

Kwon, Dong Deuk ^{[1
]}

Lee, Gilho ^{[2
]}

Bae, Jae Hyun ^{[3
]}

Na, Yong Gil ^{[4
]}

Min, Seung Ki ^{[5
]}

Son, Hwancheol ^{[6
]}

Lee, Sun Ju ^{[7
]}

Chung, Jae Min ^{[8
]}

Chung, Hong ^{[9
]}

Cho, In Rae ^{[10
]}

Kim, Young Ho ^{[11
]}

Kim, Tae-Hyoung ^{[12
,13
]}

Chang, In Ho ^{[12
,13
]}

机构：

[1] Chonnam Natl Univ, Dept Urol, Hwasun 519763, South Korea

[2] Dankook Univ, Coll Med, Dept Urol, Cheonan, South Korea

[3] Korea Univ, Coll Med, Dept Urol, Seoul 136705, South Korea

[4] Chungnam Natl Univ, Coll Med, Dept Urol, Taejon, South Korea

[5] Natl Police Hosp, Dept Urol, Seoul, South Korea

[6] Seoul Natl Univ, Coll Med, Dept Urol, Seoul, South Korea

[7] Kyung Hee Univ, Sch Med, Dept Urol, Seoul, South Korea

[8] Kosin Univ, Coll Med, Dept Urol, Pusan, South Korea

[9] Konkuk Univ, Sch Med, Dept Urol, Chungju, South Korea

[10] Inje Univ, Coll Med, Dept Urol, Pusan, South Korea

[11] Soon Chun Hyang Univ, Coll Med, Dept Urol, Puchon, South Korea

[12] Chung Ang Univ, Coll Med, Dept Urol, Seoul 156756, South Korea

[13] Korean Assoc Urogenital Tract Infect & Inflammat, Seoul, South Korea

来源：

JOURNAL OF KOREAN MEDICAL SCIENCE | 2014年 / 29卷 / 09期

关键词：

Urinary Tract Infections; Transurethral Resection of Prostate; Risk Factors; URINARY-TRACT-INFECTIONS; TRANSURETHRAL RESECTION; ANTIMICROBIAL PROPHYLAXIS; RADICAL PROSTATECTOMY; UROLOGIC SURGERY; BACTERIURIA; PREVENTION; 1-DAY;

D O I：

10.3346/jkms.2014.29.9.1271

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This multicenter study was undertaken to determine the efficacy of antibiotic prophylaxis and identify the risk factors for infectious complications after prostate surgery in Korean patients. A total of 424 patients who underwent surgery of the prostate were reviewed. All patients underwent urinalysis and urine culture preoperatively and postoperatively. Efficacy of antibiotic prophylaxis and risk factors for infectious complications were investigated. Infectious complications were observed in 34.9% of all patients. Factors independently associated with infectious complications were diabetes mellitus (adjusted OR, 1.99; 95% CI, 1.09-3.65, P = 0.025) and operation time (adjusted OR, 1.08; 95% CI, 1.03-1.13, P = 0.004). Clinicians should be aware of the high risk of infectious complications in patients with diabetes and those who undergo a prolonged operation time. Neither the type nor duration of prophylactic antibiotics resulted in differences in infectious complications.

引用

页码：1271 / 1277

页数：7

共 30 条

[1] Poor postoperative blood glucose control increases surgical site infections after surgery for hepato-biliary-pancreatic cancer: a prospective study in a high-volume institute in Japan [J].