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Related Experiment Videos

Bacteriuria in patients undergoing prostatectomy.

M Williams, D J Hole

    Journal of Clinical Pathology
    |November 1, 1982
    PubMed
    Summary
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    Prostatectomy patients frequently develop bacteriuria (bladder infections), especially with prior catheterization. Understanding infection patterns aids in selecting effective antibiotics for prevention.

    Area of Science:

    • Urology
    • Infectious Diseases
    • Microbiology

    Background:

    • Literature review shows variable bacteriuria rates before and after prostatectomy.
    • Limited investigation into causative organisms and unproven chemoprophylaxis efficacy.
    • Bacteriuria poses a significant risk in prostatectomy patients.

    Purpose of the Study:

    • To investigate the incidence and patterns of bacteriuria before and after prostatectomy.
    • To identify common pathogens associated with pre- and post-prostatectomy bacteriuria.
    • To inform the selection and administration of chemoprophylaxis.

    Main Methods:

    • Prospective study of 248 patients undergoing prostatectomy over 2.5 years.
    • Standardized criteria and technical procedures for bacteriuria assessment.

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  • Analysis of preoperative and postoperative urine cultures.

    • Main Results:

    • Preoperative bacteriuria found in 28% of patients, higher (44%) in those catheterized pre-operation.
    • Bacteriuria incidence correlated with catheter drainage duration.
    • Postoperative bacteriuria developed in 40% of patients with initially sterile urine.
    • Increased prevalence of Enterococcus and coagulase-negative Staphylococcus post-surgery.

    Conclusions:

    • Catheterization significantly increases preoperative bacteriuria risk.
    • Post-prostatectomy bacteriuria is common, with shifts in predominant pathogens.
    • Findings support targeted chemoprophylaxis strategies for prostatectomy patients.