Surgical antimicrobial prophylaxis in transurethral ureterolithotripsy
| Autor: | Satoshi Takahashi, Koh Takeyama, Shintaro Miyamoto, Yasushi Tanuma, Yoshio Takagi |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Microbiology (medical) medicine.medical_specialty Ureteral Calculi Fever medicine.medical_treatment Lithotripsy Postoperative fever Postoperative Complications Humans Medicine Pharmacology (medical) Ureteroscopy Antibiotic prophylaxis Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Incidence Incidence (epidemiology) Retrospective cohort study Antibiotic Prophylaxis Middle Aged medicine.disease Antimicrobial Anti-Bacterial Agents Surgery Treatment Outcome Infectious Diseases Standard protocol Female business |
| Zdroj: | Journal of Infection and Chemotherapy. 11:239-243 |
| ISSN: | 1341-321X |
| Popis: | The aim of this study was to establish a standard protocol for surgical antimicrobial agents for patients who received transurethral ureterolithotripsy (TUL). We retrospectively reviewed the medical charts of patients who received TUL. From October 2002 to December 2003, 2 days (total, four times) of antimicrobial prophylaxis (AMP) was done, and from January 2004 to December 2004, single prophylaxis was done. We analyzed the incidence of postoperative fever and other factors associated with TUL and compared these factors between the 2-day-AMP and single-AMP groups. Of 135 patients with TUL, 66 patients were in the single-AMP group and 69 in the 2-day-AMP group. The incidences of postoperative fever were 4.5% in the single-AMP group and 11.6% in the 2-day-AMP group. No statistically significant difference was found in the incidence of postoperative fever between the two groups. Our study showed that single AMP was effective for patients receiving a TUL operation. In the future, a prospective randomized study will be needed for a large series, with various types of lithotripters being included. |
| Databáze: | OpenAIRE |
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