[腹腔镜肾盂成形术患者手术部位和偏远地区感染的危险因素和抗菌药物预防的评估]。

Hironobu Okugi, Toshiyuki Nakamura, Hiroshi Okazaki, Tadakazu Yoshihara
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引用次数: 0

摘要

(目的)我们测量了腹腔镜肾盂成形术治疗肾盂输尿管连接部梗阻患者的手术部位感染(SSIs)和远端感染(RIs)的发生率,以及预防性抗菌药物的效果。(患者和方法)我们比较了2009年8月至2021年6月在我院接受腹腔镜肾盂成形术的94名患者的SSI和RI的发生率、此类感染的风险因素以及预防性抗菌方案的差异。(结果)2例患者出现SSI(2.1%),3例患者出现RIs(3.2%)。遵守和不遵守预防性抗菌指南的患者的感染类型发生率没有显著差异。(结论)腹腔镜肾盂成形术可降低SSI和RI的发生率;可能不需要预防性抗菌药物。需要进行大型多中心调查,以持续评估SSI和RI并积累数据。
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[RISK FACTORS FOR INFECTIONS AT SURGICAL SITES AND REMOTE REGIONS IN PATIENTS UNDERGOING LAPAROSCOPIC PYELOPLASTY AND EVALUATION OF ANTIMICROBIAL PROPHYLAXIS].

(Objectives) We measured the incidences of surgical site infections (SSIs) and remote infections (RIs) in patients undergoing laparoscopic pyeloplasty to treat ureteropelvic junction obstruction, and the effects of prophylactic antimicrobial agents. (Patients and Methods) We compared the incidences of SSI and RI, risk factors for such infections, and differences in the prophylactic antimicrobial protocols in 94 patients who underwent laparoscopic pyeloplasty at our hospital from August 2009 to June 2021. (Results) Two patients experienced SSIs (2.1%) and three had RIs (3.2%). There were no significant differences in the incidence of either infection type in those who complied and did not comply with the prophylactic antimicrobial guidelines. (Conclusions) Laparoscopic pyeloplasty is associated with low incidences of both SSI and RI; prophylactic antimicrobials may not be required. A large multicenter survey is required for continuous evaluation of SSIs and RIs and to accumulate data.

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