膀和前列腺经尿道切除后复杂的尿路感染的患病率和预测因素
Lina Souiden1, Le Mai Tu2,3, Maxence Bordeleau2,3
1Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, QC, Canada. lina.souiden@usherbrooke.ca.
World journal of urology
|June 26, 2025
概括
膀或前列腺瘤切除后复杂的尿路感染 (UTI) 不常见. 患有更多并发症的患者面临更高的风险,这表明需要个性化抗生素方法.
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
- 手术并发症 手术并发症
背景情况:
- 复杂的尿路感染 (UTIs) 是膀或前列腺瘤 (TURBT, TURP) 经尿道切除后的显著术后并发症.
- 目前对抗生素预防和无症状细菌性尿病治疗的建议各不相同.
- 识别风险因素对于管理术后感染性并发症至关重要.
研究的目的:
- 为了确定 TURP 和 TURBT 后复杂的尿路感染的患病率.
- 确定与复杂的尿路感染相关的术前和术后风险因素.
主要方法:
- 对接受TURP或TURBT的患者进行回顾性队列研究 (2020年1月至2021年12月).
- 分析患者病历,以确定需要在30天内住院治疗的复杂尿路感染的患病率.
- 识别相关的风险因素,包括美国麻醉学会 (ASA) 评分.
主要成果:
- 在701名患者中,16名 (2.3%) 需要因复杂的尿路感染重新入院.
- 较高的ASA分数 (3和4) 与术后复杂性尿路感染风险增加有显著关联 (OR 3.39).
- 复杂的尿路感染的总体患病率相对较低.
结论:
- 在TURBT和TURP之后,复杂的尿路感染的患病率很低.
- 伴随性疾病负担较高的患者患术后感染并发症的风险增加.
- 建议为手术前无症状细菌性尿病患者提供个性化抗生素策略.
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