Transient Bacteremia Immediately following Transurethral Prostatic Resection

Biorn, Carl L.; Browning, William H.; Thompson, Luther

doi:10.1016/s0022-5347(17)68745-7

Cited by 49 publications

(6 citation statements)

References 19 publications

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“…However, as reviewed by Madsen [27] and Childs [28], in recent years increasing emphasis has been placed on the pure prophy lactic use of antibacterial agents in prostatic surgery since the true contaminated nature of urogenital surgery has become better appre ciated. The incidence rate of bacteremia in the preoperative nonbactcriuric patients in the present study was lower than the rates re ported in patients not receiving chemopro phylaxis [2][3][4][5][6][7][8]. All of the bacteremic episodes in the nonbacteriuric patients were transient, and no patients developed septicemia.…”

Section: Discussioncontrasting

confidence: 64%

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Bacteremia Resulting from Prostatic Surgery in Patients with or without Preoperative Bacteriuria under Perioperative Antibiotic Use

Ohkawa¹,

Shimamura²,

Tokunaga³

et al. 1993

Chemotherapy

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We investigated the source of organisms detected in blood specimens obtained during and immediately following prostatic surgery under perioperative antibiotic use, as related to the results of cultures of preoperative urines and prostatic tissues. Ninety patients with benign prostatic hyperplasia were studied. The incidence of bacteremia was 28.9%: 53.7% in patients with preoperative bacteriuria and 8.2% in those without bacteriuria, a significant difference (p < 0.01). Of these bacteremic patients, 5, who had preoperative bacteriuria, developed septicemia. Bacteremia developed more frequently in patients with positive than in those with negative prostatic cultures; this difference was significant (p < 0.05). The species in 80.8% of the isolates from blood specimens were identical with those isolated from preoperative urines, and the species in 53.8% were identical with those from prostatic tissues. These results indicate that in patients with urogenital infection, especially bacteriuria, septicemia can result from prostatic surgery even under perioperative antibiotic use. The incidence of postoperative bacteriuria was approximately 20% in the preoperative nonbacteriuric patients regardless of the duration of chemo-prophylaxis.

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Section: Discussioncontrasting

confidence: 64%

“…Transient bacteremia associated with prostatectomy has been reported in about 10-30% of patients not receiving antibacterial agents [2][3][4][5][6][7][8]. Bacteremia may turn into septi cemia, the most serious hazard following ma nipulation of the urogenital tract.…”

Section: Introductionmentioning

confidence: 99%

Bacteremia Resulting from Prostatic Surgery in Patients with or without Preoperative Bacteriuria under Perioperative Antibiotic Use

Ohkawa¹,

Shimamura²,

Tokunaga³

et al. 1993

Chemotherapy

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“…The incidence of bacteremia in TUR prostate patients has varied from 1.6 to 66.7% in various series in the literature (2,4,5,12,13,16); in our study it was 31%. In our series, the risk of bacteremia was 52% in patients with urinary tract infection, and the organisms found in the blood usually were the same as those in the urine.…”

Section: Discussionmentioning

confidence: 42%

Bacteremia After Genitourinary Tract Manipulation: Bacteriological Aspects and Evaluation of Various Blood Culture Systems

Sullivan¹,

Sutter²,

Carter³

et al. 1972

Applied Microbiology

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“…It occurs despite antibiotic cover and is unrelated to subsequent development of urinary infection. Biorn, Browning and Thompson (1950) suggest fever is unrelated to bacteraemia. Creevy and Feeny (1954) discuss the probable absorption of toxins from denatured tissue entering the circulation with the irrigating fluids.…”

Section: Discussionmentioning

confidence: 98%

The Value of Prophylactic Antibiotics in Transurethral Prostatic Resection: a Controlled Trial, with Observations on the Origin of Postoperative Infection

Morris

Golovsky

Guinness

et al. 1976

British Journal of Urology

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Prophylactic antibiotics significantly decrease the incidence of urinary tract infection following endoscopic prostate resection. They are ineffective in reducing the incidence of postoperative fevers, or in reducing the frequency of positive blood cultures during or after operation. A majority of prostate glands harbour colonies of potentially pathogenic organisms, and these are the commonest source of infection of the urinary tract following release by prostatic surgery.

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Transient Bacteremia Immediately following Transurethral Prostatic Resection

Cited by 49 publications

References 19 publications

Bacteremia Resulting from Prostatic Surgery in Patients with or without Preoperative Bacteriuria under Perioperative Antibiotic Use

Bacteremia Resulting from Prostatic Surgery in Patients with or without Preoperative Bacteriuria under Perioperative Antibiotic Use

Bacteremia After Genitourinary Tract Manipulation: Bacteriological Aspects and Evaluation of Various Blood Culture Systems

The Value of Prophylactic Antibiotics in Transurethral Prostatic Resection: a Controlled Trial, with Observations on the Origin of Postoperative Infection

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