Abstract |
A single-dose ofantimicrobial prophylaxis ( AMP) was administered parenterally for prevention of perioperative infection in a total of 206 urologic surgeries including 114 endoscopic-instrumental, 92 clean, and 20 clean-contaminated procedures between January and December, 2007, and surgical site infections (SSI), urinary tract infections (UTI), and remote infections (RI) were prospectively surveyed. The definition of a single-dose of AMP allowed the administration of a second dose of an antimicrobial during a surgical procedure that exceeded 3 hours but not parenteral or oral administration at the end of the procedure, in the recovery room, or at a later time over a period of more than 24 hours. UTI was observed in 3 cases (2.7%) after endoscopic-instrumental procedures and in 1 case (5%) after clean-contaminated procedures while no case was associated with UTI in clean procedures. SSI was seen in 1 case each after clean procedures (1.1%) and after clean-contaminated procedures (5%), and RI was seen in 2 cases (2.2%) after clean procedures. A single-dose regimen of AMP was effective for prevention ofperioperative infections including SSI, UTI, and RI in endoscopic-instrumental, clean, and clean-contaminated surgical procedures in urology.
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Authors | Shingo Yamamoto, Youzou Mitsui, Yasuo Ueda, Toru Suzuki, Yoshihide Higuchi, Jun Qiu, Takuo Maruyama, Nobuyuki Kondou, Michio Nojima, Yoshio Takesue, Hiroki Shima |
Journal | Hinyokika kiyo. Acta urologica Japonica
(Hinyokika Kiyo)
Vol. 54
Issue 9
Pg. 587-91
(Sep 2008)
ISSN: 0018-1994 [Print] Japan |
PMID | 18975571
(Publication Type: English Abstract, Journal Article)
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Chemical References |
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Topics |
- Aged
- Aged, 80 and over
- Anti-Bacterial Agents
(administration & dosage)
- Antibiotic Prophylaxis
- Bacterial Infections
(prevention & control)
- Female
- Humans
- Male
- Middle Aged
- Postoperative Complications
(prevention & control)
- Prospective Studies
- Surgical Wound Infection
(prevention & control)
- Urinary Tract Infections
(prevention & control)
- Urogenital Surgical Procedures
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