A Prospective Korean Multicenter Study for Infectious Complications in Patients Undergoing Prostate Surgery: Risk Factors and Efficacy of Antibiotic Prophylaxis

This multicenter study was undertaken to determine the efficacy of antibiotic prophylaxis and identify the risk factors for infectious complications after prostate surgery in Korean patients. A total of 424 patients who underwent surgery of the prostate were reviewed. All patients underwent urinalys...

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Detalles Bibliográficos
Autores principales: Hwang, Eu Chang, Jung, Seung Il, Kwon, Dong Deuk, Lee, Gilho, Bae, Jae Hyun, Na, Yong Gil, Min, Seung Ki, Son, Hwancheol, Lee, Sun Ju, Chung, Jae Min, Chung, Hong, Cho, In Rae, Kim, Young Ho, Kim, Tae-Hyoung, Chang, In Ho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2014
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4168182/
https://www.ncbi.nlm.nih.gov/pubmed/25246747
http://dx.doi.org/10.3346/jkms.2014.29.9.1271
Descripción
Sumario:This multicenter study was undertaken to determine the efficacy of antibiotic prophylaxis and identify the risk factors for infectious complications after prostate surgery in Korean patients. A total of 424 patients who underwent surgery of the prostate were reviewed. All patients underwent urinalysis and urine culture preoperatively and postoperatively. Efficacy of antibiotic prophylaxis and risk factors for infectious complications were investigated. Infectious complications were observed in 34.9% of all patients. Factors independently associated with infectious complications were diabetes mellitus (adjusted OR, 1.99; 95% CI, 1.09-3.65, P=0.025) and operation time (adjusted OR, 1.08; 95% CI, 1.03-1.13, P=0.004). Clinicians should be aware of the high risk of infectious complications in patients with diabetes and those who undergo a prolonged operation time. Neither the type nor duration of prophylactic antibiotics resulted in differences in infectious complications. GRAPHICAL ABSTRACT: [Image: see text]

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