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无症状细菌尿和泌尿外科手术:危险因素还是没有? 来自全国和多中心TOCUS数据库的结果
Stessy Kutchukian1, Bastien Gondran-Tellier2, Aurélien Dinh3,4
1Département d'Urologie et de Transplantation Rénale, Centre Hospitalier Universitaire, 2 rue de la Milétrie, F-86000 Poitiers, France.
The Journal of urology
|May 16, 2024
概括
术前的尿液培养,包括多微生物培养,与泌尿外科手术中的术后感染有关. 风险因素如先前的尿路感染 (UTI) 和更长的手术时间增加了感染风险.
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
- 外科手术的结果
背景情况:
- 目前的指导方针建议在突破粘膜的泌尿外科手术之前查和治疗无症状细菌尿症.
- 支持这一建议的证据有限,手术后尿路感染 (UTI) 的风险分层缺乏.
研究的目的:
- 在接受泌尿外科手术的患者中,确定与术后发烧性传染性并发症 (尿道感染或手术部位感染) 相关的因素.
主要方法:
- 一项回顾性多中心研究包括2389名接受泌尿外科手术的患者,进行了手术前的尿液培养.
- 主要结局是手术后30天内发生尿路感染或手术部位感染.
主要成果:
- 手术后感染发生在4.4%的患者中.
- 术后发烧性感染的独立风险因素包括12个月内之前的尿路感染,单微生物/双微生物手术前尿液培养,多微生物手术前尿液培养和更长的手术时间.
结论:
- 积极的手术前尿液培养,包括多微生物培养,与泌尿外科手术中的术后感染有关.
- 患有传染性并发症的患者患其他并发症的发病率更高.
- 对于阳性尿液培养的常规抗生素预防的有效性仍然没有得到证实.
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