2014年AUA质量改善峰会:关于跨直肠前列腺针检查的传染性并发症的会议记录
Timothy Averch1, Christopher Tessier1, J Quentin Clemens1
1American Urological Association Education and Research, Inc., Linthicum, Maryland.
Urology practice
|August 10, 2023
概括
经过直肠前列腺针活检感染后住院率在0.5%至6%之间. 将抗生素预防调整为局部抗生素图表和患者风险因素,可以显著减少传染性并发症.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 提高质量 提高质量
背景情况:
- 美国泌尿器官学会 (AUA) 质量改善峰会解决了患者安全的关键问题.
- 经过直肠前列腺针活检 (TRPNB) 后的传染性并发症已经显示出快速增加的住院率,需要集中注意.
研究的目的:
- 为解决TRPNB后因传染性并发症而增加的住院率.
- 为了教育质量改善策略,以预防与前列腺活检相关的感染.
主要方法:
- 数据主要包括未公布的,自我报告的感染率和来自主持医生的机构协议.
- 讨论包括在开放论坛上大多数峰会参与者的意见.
- 从各个机构收集了有关预防方案和抗生素耐药性的信息.
主要成果:
- 对于TRPNB感染的住院率有很大的不同,从0.5%到6%.
- 大肠杆菌中的抗生素耐药性是这些并发症的主要危险因素.
- 抗生素耐药性概况的显著区域差异需要局部抗生素导向预防.
结论:
- 泌尿科医生必须监测前列腺活检感染率,并咨询当地的抗生素图.
- 识别患有耐药生物体高风险的患者对于加强预防方案至关重要.
- 标准化过直肠抗生素预防已经证明了感染并发症率的降低.
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