术后泌尿道感染 根源性囊切除术后:发生率,病原体和危险因素
Maxwell Sandberg1, Rachel Vancavage2, Justin M Refugia1
1Department of Urology, Wake Forest University School of Medicine, Winston Salem, NC 27101, USA.
Journal of clinical medicine
|November 27, 2024
概括
根源性囊切除术 (RC) 以尿路转移 (UD) 后的尿路感染 (UTIs) 在14%的患者中发生. 风险因素因手术后的时间而异,包括早期的女性性别和以后的特定转移类型.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
背景情况:
- 尿路感染 (UTI) 是根源性囊切除术 (RC) 以尿路转移 (UD) 后的一个常见并发症.
- 有限的数据存在于发生率,致病原体和患者风险因素的术后尿路感染后RC.
- 本研究旨在在大量患者队列中阐明这些方面.
研究的目的:
- 为了确定激进囊切除术 (RC) 后尿路转移 (UD) 后尿路感染的发生率.
- 为了确定负责手术后尿路感染的常见病原体.
- 评估与不同手术后时间点的尿路感染发展相关的患者特异性风险因素.
主要方法:
- 在2012年至2024年期间,对386名患有UD的RC患者进行了回顾性分析.
- 由尿培养结果 (>10^5 CFU/hpf) 定义的尿路感染发病率,从术后的0日到出院后的90天.
- 风险因素的统计评估,包括患者人口统计和尿路转移的类型.
主要成果:
- 累计的尿路感染发病率为14%,在手术后期为2%,在30天内为8%,在31至90天之间为7%.
- 常见的病原体包括大肠杆菌 (26%),肠杆菌 (24%),肺炎 (21%), Pseudomonas 种类 (21%).
- 女性的性别是手术后的风险因素;皮肤尿路静脉切除和华莱士瘤在阴茎管患者是风险因素在31-90天.
结论:
- 手术后的尿路感染发病率和病原体概况在RC与UD后,根据手术后的时间有很大差异.
- 特定的尿路转移技术和患者特征与不同术后间隔的尿路感染风险增加有关.
- 了解这些时间和风险因素的变化对于在这个患者群体中管理尿路感染至关重要.
相关概念视频
Disorders of the Urinary System
237
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
237
Factors Affecting the Risk of Infection
11.4K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.4K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.0K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.0K
Appendicitis-II: Diagnostic Studies and Management
66
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
66


