作者回复:回复:外伤性脊髓损伤患者尿动力学研究前抗生素预防。有什么迹象吗?

M. R. D. Silva, A. L. Barboza, M. Pijoán, P. Beraldo
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引用次数: 0

摘要

我们感谢您对我们最新出版物的评论(1)。事实上,我们开展这项调查的最大动机是缺乏关于脊髓损伤患者在尿动力学研究之前使用抗菌药物的证据(2)。对我们来说,一个意想不到的结果是T6或以上损伤患者的尿路感染发生率更高,无论在手术之前使用抗菌药物。此时此刻,我们正在撰写一份新的出版物,详细介绍了379名T6或以上损伤的脊髓损伤患者的尿路感染发生率,现在考虑到自主神经反射异常和尿动力学参数的存在。这些结果正变得具有临床意义。
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REPLY BY THE AUTHORS: Re: Antibiotic prophylaxis prior to urodynamic study in patients with traumatic spinal cord injury. Is there an indication?
We thank you for your comments on our latest publication (1). Indeed, what has motivated us the most to carry out this investigation was the lack of evidence concerning the usage of antimicrobials prior to urodynamic studies in spinal cord injured patients (2). An unexpected result for us was the greater incidence of urinary tract infection upon patients with injuries at T6 or above, regardlessly of the use of antimicrobials prior to the procedure. At this exact moment we are working on a new publication that details the incidence of urinary tract infection specifi cally amongst the 379 spinal cord injured patients with injuries at T6 or above, now considering the presence of autonomic dysrefl exia and urodynamic parameters. The results are becoming clinically relevant.
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