非抗生素策略可降低剖析后住院率,因为通过直肠前列腺活检后的感染性并发症
1Department of Urology, T.C Ministry of Health, Karabuk Training and Research Hospital, Karabuk, Turkey.
The Prostate
|February 14, 2024
概括
结合甲针消毒和波维-直肠清洁,可显著减少前列腺活检后的感染性并发症. 这种双重方法防止了住院治疗,而不是单独使用抗生素或单独使用甲素.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 预防传染病 预防传染病
- 医疗程序 医疗程序
背景情况:
- 跨直肠前列腺活检与传染性并发症有关.
- 预防性抗生素是常用的,但可能不完全有效.
- 预防感染的非抗生素策略需要进一步研究.
研究的目的:
- 为了比较活检针消毒的有效性,仅使用10%的甲,而不是与波维-结合的直肠清洁,防止活检后的传染性并发症.
- 为了评估预防性抗生素单独作为对照组的有效性.
主要方法:
- 追溯分析902名接受跨直肠前列腺活检的患者.
- 患者接受了预防性抗生素,尿液培养结果为阴性.
- 他们比较了三个组:仅用甲素消毒,仅用抗生素,以及甲素消毒加上波维-直肠清洗.
主要成果:
- 感染性并发症的住院率为2.7% (单独使用甲素),8.5% (单独使用抗生素) 和0% (联合方法).
- 甲消毒和波维-直肠清洁的联合策略显示出最高的疗效.
- 仅仅预防性抗生素显示出需要住院治疗的传染性并发症率最高.
结论:
- 活检针消毒与甲和波维-直肠清洁的结合是预防前列腺活检后感染性并发症的高效策略.
- 这种双重非抗生素方法似乎优于单独使用预防性抗生素.
- 建议进行进一步的前性研究来验证这些发现.
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