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[Infectious complications after transurethral resection]
D M Pestalozzi1, H P Böss, H Knönagel
1Urologische Abteilung, Spital Limmattal, Schlieren.
Abstract:
300 consecutive TUR were prospectively examined bacteriologically. We used, lacking contraindications, Co-Trimoxazol as antibiotic prophylaxis, when urine at admittance was sterile, otherwise we treated the urinary infection. The antibiotics were applied from the beginning of the intervention until the catheter was removed. Of the 49 patients with a indwelling catheter 28 (57%) had an urinary infection. All but one were cured. 2 of 64 (3%) patients undergoing resection of a bladder tumour acquired asymptomatic nosocomial infection. 198 patients underwent TUR of the prostate with initially sterile urine. 7 patients suffered from fever in the postoperative course, in 6 cases the origin remained unclear. 3 patients showed an asymptomatic nosocomial infection. Overall, with antibiotic prophylaxis we found an infection rate of 2-5% for the TUR of the prostate and of 3% for the TUR of bladder. Primarily infected urine, in this study, did not elevate the risk for infectious complications.
Insights
Antibiotic prophylaxis for transurethral resection (TUR) procedures significantly reduced urinary tract infections. This study found low infection rates (2-5%) for TUR of the prostate and 3% for bladder tumors, even with initially infected urine.
Area of Science:
- Urology
- Infectious Diseases
- Surgical Procedures
Context:
- Transurethral resection (TUR) is a common urological procedure.
- Nosocomial urinary tract infections (UTIs) are a potential complication.
- Antibiotic prophylaxis is often used to prevent infections.
Purpose:
- To evaluate the efficacy of Co-Trimoxazole antibiotic prophylaxis in preventing UTIs during TUR procedures.
- To determine the incidence of nosocomial UTIs in patients undergoing TUR of the prostate and bladder tumors.
- To assess the impact of pre-existing urinary tract infections on infectious complications.
Summary:
- 300 patients undergoing TUR procedures were prospectively studied.
- Co-Trimoxazole prophylaxis was administered to patients with sterile urine.
- Infection rates were low: 2-5% for TUR of the prostate and 3% for bladder tumors.
- Pre-existing bacteriuria did not increase the risk of infectious complications.
Impact:
- Demonstrates the effectiveness of antibiotic prophylaxis in reducing UTIs post-TUR.
- Provides data on infection rates for specific urological procedures.
- Informs clinical practice regarding antibiotic use in urological surgery.