Efficacy of Prophylactic Gentamicin Use in Postoperative Urinary Tract Infections after Endoscopic Procedures of the Urinary Tract

Ersev, D.; Dillioğlugil, Özdal; Ilker, Y; Şimşěk, Ferruh; Akdaş, Atıf

doi:10.1159/000282363

Cited by 9 publications

(9 citation statements)

References 10 publications

(17 reference statements)

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“…In a report, 23 bacterial adhesion to the bladder tumor caused postoperative UTIs, even if the preoperative urine was sterile, and the incidence of UTIs after TUR‐Bt was higher than that after TUR‐P. Therefore, AMP is recommended to prevent UTIs after TUR‐Bt 19,20,24–28 . Most strains isolated from UTIs after TUR‐Bt were Gram negatives 22,25,27 .…”

Section: Detailed Expositionmentioning

confidence: 99%

“…Therefore, AMP is recommended to prevent UTIs after TUR‐Bt 19,20,24–28 . Most strains isolated from UTIs after TUR‐Bt were Gram negatives 22,25,27 . However, the distribution of streptococci from postoperative UTIs in female patients was reported to be high 29 .…”

Section: Detailed Expositionmentioning

confidence: 99%

“…19,20,[24][25][26][27][28] Most strains isolated from UTIs after TUR-Bt were Gram negatives. 22,25,27 However, the distribution of streptococci from postoperative UTIs in female patients was reported to be high. 29 Prophylactic Guidelines for urological infections antimicrobials should be chosen to target these bacteria.…”

Section: (2) Perioperative Infections In Tur-bt 13-20mentioning

confidence: 99%

“…22 Although these high dosages may be appropriate for AMP based on their pharmacokinetics, further studies will be needed to elucidate whether these high dosages are suitable for Japanese patients. In most studies 15,[17][18][19][20][24][25][26][27][28][29][30]32 AMP was included as a single-dose 30 min to 2 h preoperatively, and 1-day perioperatively. On the other hand , 3-day AMP has been recommended in some studies.…”

Section: (2) Perioperative Infections In Tur-bt 13-20mentioning

confidence: 99%

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Japanese guidelines for prevention of perioperative infections in urological field

et al. 2007

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For urologists, it is very important to master surgical indications and surgical techniques. On the other hand , the knowledge of the prevention of perioperative infections and the improvement of surgical techniques should always be considered. Although the prevention of perioperative infections in each surgical field is a very important issue, the evidence and the number of guidelines are limited. Among them, the preparation of guidelines has progressed , especially in gastrointestinal surgery. The Center for Disease Control and Prevention (CDC) proposed guidelines for the prevention of surgical site infections, which have been used worldwide. In urology, the original guidelines were different from those of general surgery, due to many endourological procedures and urine exposure in the surgical field. The Japanese Society of UTI Cooperative Study Group has thus framed these guidelines supported by The Japanese Urological Association. The guidelines consist of the following nine techniques: open surgeries, laparoscopic surgeries, transurethral resection of bladder tumor, ureterorenoscope and transurethral lithotripsy, transurethral resection of the prostate, prostate biopsy, cystourethroscope, pediatric surgeries in the urological field , and extracorporeal shock wave lithotripsy and febrile neutropenia. These are the first guidelines for the prevention of perioperative infections in the urological field in Japan. Although most of these guidelines were made using reliable evidence, there are parts without enough evidence. Therefore, if new reliable data is reported , it will be necessary for these guidelines to be revised in the future. Key words:Open surgery, Laparoscopic surgery, TUR, Prostate biopsy, Cystourethroscope, ESWL. I. General remarksUrological practice mainly consists of surgical procedures, since the field of urology is a division of surgery. Therefore, it is very important to master surgical indications and surgical techniques. On the other hand , the knowledge of the prevention of perioperative infections and the improvement of surgical techniques should always be considered. Although the prevention of perioperative infections in each surgical field is a very important issue, these evidences are limited and the number of guidelines is limited. Among them, the preparation of guidelines has progressed , especially in gastrointestinal surgery. The Center for Disease Control and Prevention (CDC) proposed guidelines for the prevention of surgical site infections), 1 which have been used worldwide. In urology, the original guidelines were different from those of general surgery, due to many endourological procedures and urine exposure in the surgical field. We have thus framed these guidelines supported by The Japanese Urological Association. I-I Definition and classification of perioperative infectionsA perioperative infection is defined as an infection that occurs within one month after an operation. These infections are divided into two groups: surgical site infections (SSIs) and remote i...

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Section: Detailed Expositionmentioning

confidence: 99%

Section: Detailed Expositionmentioning

confidence: 99%

Section: (2) Perioperative Infections In Tur-bt 13-20mentioning

confidence: 99%

Section: (2) Perioperative Infections In Tur-bt 13-20mentioning

confidence: 99%

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Japanese guidelines for prevention of perioperative infections in urological field

et al. 2007

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“…Bei insgesamt spärlicher Literatur zur Problematik finden sich noch die häufigsten Quellen zur transurethralen Prostataresektion. Literatur zu anderen operativen Eingriffen findet sich nur vereinzelt [5,6], wobei in diesen monozentrischen Studien dann mehrere Indikationen zusammengefaût werden, so daû bei niedrigen Fallzahlen keine Empfehlung abgeleitet werden kann. Allerdings konnte bislang nicht ausreichend geklärt werden, ob die erhöhte Infektionsrate überhaupt eine klinische Relevanz hat, da in den Studien lediglich die postoperative Bakteriurie erfaût wurde, und nicht zusätzlich der klinische Verlauf.…”

Section: Materials Und Methodeunclassified

Perioperative Antibiotikaprophylaxe in der operativen Urologie

et al. 1998

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Perioperative Antibiotikaprophylaxe in der operativen UrologieErgebnisse einer bundesweiten Umfrage* Zum ThemaDas Ziel einer perioperativen Antibiotikaprophylaxe besteht in der Vermeidung infektiös bedingter postoperativer Komplikationen. Eine präoperativ floride Harnwegsinfektion muû vor einem operativen Eingriff ausgeschlossen bzw. therapiert werden und ist somit nicht Gegenstand der Prophylaxe. Der Einsatz der Prophylaxe bei urologischen Eingriffen erfolgt derzeit uneinheitlich, eine Empfehlung im Sinne einer Leitlinie fehlt. Um einen Überblick über die derzeit gängige Praxis zu erhalten, wurde eine bundesweite Umfrage durchgeführt. Der Urologe [B] 3´98 269 Urologe [B]

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Antimicrobial agents for preventing urinary tract infections in adults undergoing cystoscopy

Zeng

Zhang

Bai

et al. 2019

Cochrane Database of Systematic Reviews

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BackgroundCystoscopy is commonly performed for diagnostic purposes to inspect the interior lining of the bladder. One disadvantage of cystoscopy is the risk of symptomatic urinary tract infection (UTI) due to pre-existing colonization or by introduction of bacteria at the time of the procedure. However, the incidence of symptomatic UTI following cystoscopy is low. Currently, there is no consensus on whether antimicrobial agents should be used to prevent symptomatic UTI for cystoscopy. ObjectivesTo assess the e ects of antimicrobial agents compared with placebo or no treatment for prevention of UTI in adults undergoing cystoscopy. Search methodsWe comprehensively searched electronic databases of the Cochrane Library, PubMed, Embase, LILACS, and CINAHL. We searched the WHO ICTRP and ClinicalTrials.gov for ongoing trials. We used no language or date restrictions in the electronic searches. We searched the reference lists of identified articles and contacted authors for related information. The last search of the electronic databases was 4 February 2019. Selection criteriaWe included randomized controlled trials (RCTs) or quasi-RCTs that compared any prophylactic antibiotic versus placebo, no treatment, or other non-antibiotic prophylaxis in adults undergoing cystoscopy. There was no restriction on the dose, frequency, formulation, duration, or mode of administration of the antibiotics. Data collection and analysisWe used standard methodological procedures expected by Cochrane. Our primary outcomes were systemic UTI, symptomatic UTI (composite of systemic and/or localized UTI), and serious adverse events. Secondary outcomes were minor adverse events, localized UTI, asymptomatic bacteriuria, and bacterial resistance. We assessed the quality of evidence using GRADE. Main resultsWe included 20 RCTs and two quasi-RCTs with 7711 participants, all of which compared antibiotic prophylaxis with placebo or no treatment control. We found no studies comparing antibiotic prophylaxis with non-antibiotic prophylaxis. Primary outcomesAntimicrobial agents for preventing urinary tract infections in adults undergoing cystoscopy (Review)

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Efficacy of Prophylactic Gentamicin Use in Postoperative Urinary Tract Infections after Endoscopic Procedures of the Urinary Tract

Cited by 9 publications

References 10 publications

Japanese guidelines for prevention of perioperative infections in urological field

Japanese guidelines for prevention of perioperative infections in urological field

Perioperative Antibiotikaprophylaxe in der operativen Urologie

Antimicrobial agents for preventing urinary tract infections in adults undergoing cystoscopy

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