术内肠道培养和术后泌尿道感染之间的关系 激进囊切除术与阴道转移患者的急性囊切除术
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Updated: May 28, 2025

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
I P Tobia1, C Pedergrana1, A G Alfieri1
1Servicio de Urología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
内手术肠道或排泄导管培养不能预测激进囊切除术 (RC) 患者的尿路感染 (UTIs). 高水平的尿路感染患病率 (43.9%) 和再接收率 (28.9%) 凸显了持续监测的必要性.
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:
- 激进囊切除术 (RC) 是晚期膀癌的关键治疗方法.
- 使用后RC肠道段的尿路转移易患尿路感染 (UTI).
研究的目的:
- 评估RC患者的手术内肠道培养和手术后尿道感染培养之间的相关性.
- 为了比较排放导管尿液培养与尿路感染培养,并确定尿路感染的流行率和再接收率在90天后RC.
主要方法:
- 82名患者的前性观察队列研究 接受RC与阴茎转移 (2021年4月-2024年1月).
- 在UTI发作期间分析了手术内阴道环培养和手术后尿液培养.
- 患者在手术后90天被监测尿路感染症状和再入院情况.
主要成果:
- 在RC.后三个月内,尿路感染的患病率为43.9%.
- 术内培养和尿道感染培养之间的一致性差 (kappa=0.033);放出和尿道感染培养之间的相当一致性 (kappa=0.251).
- 90天的尿路感染再入院率为28.9%,没有发现显著的预测因素.
结论:
- 在RC患者的手术内肠道或排泄导管培养与随后的尿路感染病原体之间没有显著的关联.
- 高水平的尿路感染患病率和再接收率需要持续的流行病学监测,以有效的抗生素管理.
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