Incidence of and risk factors for surgical site infection in patients with radical cystectomy with urinary diversion

Takeyama, Koh; Matsukawa, Masanori; Kunishima, Yasuharu; Takahashi, Satoshi; Hara, Hiroshi; Nishiyama, Naotaka; Tsukamoto, Taiji

doi:10.1007/s10156-005-0391-1

Cited by 53 publications

(39 citation statements)

References 12 publications

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“…Осложнения инфекционной природы считаются одними из наиболее частых и сложных категорий осложнений после проведения РЦЭ, составляют 20,5-33,0 % и в большинстве случаев являются причиной повторной госпитализации [1,[21][22][23][24][25][26][27]. По данным …”

Section: Discussionunclassified

Thirty-day complications of radical cystectomy and factors that influence their development

Атдуев¹,

Gasrataliev²,

Ледяев³

et al. 2017

Cancer Urology

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Section: Discussionunclassified

Thirty-day complications of radical cystectomy and factors that influence their development

Атдуев¹,

Gasrataliev²,

Ледяев³

et al. 2017

Cancer Urology

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“…Previous studies by Takeyama et al [13] (n = 104) showed that in their RC with urinary diversion cases, intravenous cephalosporins or penicillins used as PAA for 3 days had an SSI rate of 33%, consisting most frequently of superficial incisional infection (71%). MRSA was the most frequently isolated organism, accounting for 38% of the causative organisms.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Prophylactic Antimicrobial Administration of Tazobactam/Piperacillin for Radical Cystectomy with Urinary Diversion: A Multicenter Study

et al. 2019

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Objectives: The purpose of this study was to investigate the association between prophylactic antibiotic administration (PAA) and postoperative infection after radical cystectomy with urinary diversion in patients with invasive bladder cancer. Methods: Forty-nine consecutive cases were analyzed prospectively. Postoperative infections were categorized as surgical site infection (SSI) and remote infection (RI). We used the antibiotics tazobactam/piperacillin (TAZ/PIPC) as PAA (48 h). Results: A total of 18 (36.7%) patients had postoperative infections, 4/18 (22.2%) patients had wound infections, and 12/18 (66.7%) patients had RI. In the risk factor study for SSI and RI occurrences, we found that the surgical time was significantly shorter in the non-infection group (p = 0.031). Taken together, these results suggest that TAZ/PIPC with shorter PAA duration (48 h) might lead to a lower rate of postoperative infections. Conclusions: Our data showed that PAA with TAZ/PIPC with a shorter duration PAA (48 h) might be recommended for RC with urinary diversion. We found that the surgical time was significantly shorter in the non-infection group. A prospective study based on our data is desirable to establish or revise PAA strategy for prophylactic medication to prevent postoperative infection after RC with urinary diversion.

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“…The reported incidence of wound infections (or surgical site infections) following urinary diversions generally varies from 4 to 33% [ 11,12 ] . We fi nd our results comparable and our research focuses on improving the preoperative and postoperative care standards in our institution.…”

Section: Fig 1 Histopathological Examination Of Ileal Biopsies Showmentioning

confidence: 99%

Safety of no bowel preparation before ileal urinary diversion

Hashad¹,

Atta²,

Elabbady³

et al. 2012

BJU International

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Study Type – Harm (case series)Level of Evidence 4What's known on the subject? and What does the study add?Recent studies show no advantage of bowel preparation before ileal urinary diversion and that avoidance of bowel preparation led to early restoration of intestinal function and shorter hospital stay. However, this was not tested in a prospective comparison.The current study is a prospective comparison to test for the safety of omitting bowel preparation before ileal urinary diversion. This study also examines simultaneous effects of bowel preparation on the ileal flora and mucosa.OBJECTIVE To evaluate the safety of no bowel preparation before ileal reconstructive procedures of the lower urinary tract, in comparison to standard 3‐day bowel preparation. The present study also examines the effects of bowel preparation on small bowel wall and bacterial flora. PATIENTS AND METHODS This study enrolled 40 patients scheduled for radical cystectomy and ileal urinary diversion, presenting to the department of urology, Alexandria University, Alexandria, Egypt during the period from January 2009 to September 2010. Patients were prospectively randomized into two groups: Group (I) had standard 3‐day bowel preparation. Group (II) had only over‐night fasting before surgery. Intra‐operatively, one ml of ileal fluid was collected for bacteriological studies and an ileal wall biopsy was taken for histopathological examination. Postoperative complications were reported for all patients using modified Clavien system. RESULTS Both groups showed insignificant difference regarding the frequency and Clavien grade of postoperative complications (P = 0.30). Under aerobic and anaerobic conditions, 5 cases in group (I) had bacterial overgrowth of E. coli (>105) versus none in group (II) (P = 0.04). Eight patients in group (I) had sterile ileal fluid cultures versus 18 patients (90%) in group (II). No correlation could be made between would infections and the organisms isolated in ileal fluid cultures. Histopathological examination of ileal biopsies revealed mucosal edema and submucosal congestion in 9 cases in group (I) versus 2 cases in group (II) (P = 0.0310). CONCLUSIONS Omitting bowel preparation before ileal urinary diversion is safe, with no added complications. Non‐preparation of the small bowel is not associated with bacterial overgrowth.

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Incidence of and risk factors for surgical site infection in patients with radical cystectomy with urinary diversion

Cited by 53 publications

References 12 publications

Thirty-day complications of radical cystectomy and factors that influence their development

Thirty-day complications of radical cystectomy and factors that influence their development

Efficacy of Prophylactic Antimicrobial Administration of Tazobactam/Piperacillin for Radical Cystectomy with Urinary Diversion: A Multicenter Study

Safety of no bowel preparation before ileal urinary diversion

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