石头手术中的抗生素预防:对文献的系统审查
Filippo Gavi1,2, Mauro Ragonese1,2, Daniele Fettucciari3,4
1Department of Urology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
World journal of urology
|March 3, 2025
概括
抗生素预防并不总是需要在尿路透镜检查和静脉查患者无菌的尿液. 然而,对于尿液培养阳性患者来说,降低结石手术后感染风险是有益的.
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
背景情况:
- 内镜式石是治疗上部尿路结石的标准治疗方法.
- 手术后感染是这些手术的潜在并发症.
研究的目的:
- 审查关于手术前抗生素预防在内镜石症中的作用和指示的文献.
主要方法:
- 使用关键词进行系统的文献搜索:尿路透镜,PNL,逆行性内手术,抗生素预防,败血症.
- 包括13项与至少10名成年患者的研究,评估抗生素预防和术后感染结果.
主要成果:
- 抗生素预防的有效性因手术方法和患者状况而异.
- 在患有无菌尿的患者中,尿路透镜或皮肤穿透性利托司可能不需要常规预防.
结论:
- 抗生素预防策略应根据个体患者的病情和手术方法量身定制.
- 有证据支持针对性的抗生素预防,以减轻在接受石头手术的特定患者群体的传染性并发症.
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