| Autor: |
Al-Zubi M; Department of Surgery, Division of Urology, School of Medicine, Yarmouk University, Irbid, Jordan., Halalsheh O; Department of Surgery and Urology, Jordan University of Science and Technology, Irbid, Jordan., Al Azab R; Department of Surgery and Urology, Jordan University of Science and Technology, Irbid, Jordan., Alqudah RO; JRMS (Jordan Royal Medical Services), Amman, Jordan., Alnajadat N; Al Iman Hospital, Ajloun, Jordan., Muhanna SIJ; Faculty of Medicine, Yarmouk University, Irbid, Jordan., Al-Shami K; Faculty of Medicine, Yarmouk University, Irbid, Jordan., Al-Shami M; Faculty of Medicine, Yarmouk University, Irbid, Jordan., Aladaileh MA; Clinical Science Department, Medical School, Yarmouk University, Irbid, Jordan., Bani-Hani M; Special Surgery Department, Hashmite University, Zarqa, Jordan. |
| Abstrakt: |
Background: Endoscopic surgery is now increasingly taking the place of open surgery in urology. Traditionally, endourological procedures are classified as clean-contaminated because the genitourinary tract is colonized by micro-flora, even in the case of sterile urine. The aim of this study was to determine whether a difference occurs in the infection rate after short endourological procedures using standard scrubbing and partial scrubbing techniques before the operations. Patients and Methods: This was a retrospective analysis of 397 patients who underwent a short endourological procedure, with all procedure durations lasting <30 min. Patients were divided into a first group who underwent operations using a full-scrub technique and a second group who underwent operations using a partial-scrub technique. All patients were followed up for the occurrence of urinary tract infections (UTIs). Both groups were compared for age, gender, and post-operative development of UTIs. Values of p < 0.05 were considered statistically significant. Results: Of the 397 patients, 200 and 197 underwent their procedures using the full-scrub and partial-scrub techniques, respectively. Females and males accounted for 142 (35.8%) and 255 (64.2%) patients, respectively. Only 18 (4.5%) patients developed documented UTIs and antibiotics were prescribed. Of the 18 patients diagnosed with post-operative UTIs, 10 (55.5%) had undergone partial-scrub operations and 8 (45.5%) had undergone full-scrub operations (p = 0.638). Conclusion: Our findings did not indicate any significant relationship between the risk of developing UTI after a short endourological procedure and the scrub technique used before the operation (partial or full scrub). |
