Morita M, Ito S, Suzuki K
Department of Urology, Sendai Social Insurance Hospital.
Hinyokika Kiyo. 1992 Jul;38(7):869-74.
The effectiveness of oral administration of an antibacterial alone was compared with that of intravenous administration of an antibiotic in patients with benign prostatic hyperplasia undergoing transurethral resection of the prostate (TUR-P). In group A (23 patients), surgery was carried out by administering 200 mg of ofloxacin (OFLX) alone, during the day before surgery and in the morning of the day of surgery and three times a day from the morning after surgery for two days, making the total dose 1,800 mg, and total period of administration 3 days. In group B (22 patients), 1 g of Cefotetan (CTT) was intravenously infused twice a day for 3 days from the operative day, making the total dose 6 g. The patients in both groups were given no other antibacterials or antibiotics. The maximum body temperature was recorded for post-operative 2 weeks. Negativization of bacteria by bacterial culture in the urine and disappearance of the pyria, were followed up on an outpatient bases. The mean maximum body temperature up to post-operative week 2 was 37.1 +/- 0.3 degrees C and 37.0 +/- 0.3 degrees C in groups A and B, respectively. The mean number of days required until negativization of bacteria in the urine was 41.5 +/- 38.9 days and 43.3 +/- 24.9 days in groups A and B, respectively. The mean number of days required until disappearance of the pyuria was 76.5 +/- 23.0 days and 68.2 +/- 17.9 days in groups A and B, respectively. No significant differences were noted by Student's t-test between groups A and B.(ABSTRACT TRUNCATED AT 250 WORDS)
在接受经尿道前列腺切除术(TUR-P)的良性前列腺增生患者中,对比了单独口服一种抗菌药物与静脉注射一种抗生素的疗效。A组(23例患者),在手术前一天白天、手术当天上午,以及术后次日上午开始每天三次,持续两天,单独给予200mg氧氟沙星(OFLX),总剂量1800mg,给药总时长3天。B组(22例患者),从手术日起每天静脉输注1g头孢替坦(CTT),每天两次,共3天,总剂量6g。两组患者均未给予其他抗菌药物或抗生素。记录术后2周的最高体温。对尿液细菌培养细菌转阴情况及脓尿消失情况进行门诊随访。术后第2周时,A组和B组的平均最高体温分别为37.1±0.3℃和37.0±0.3℃。A组和B组尿液细菌转阴所需的平均天数分别为41.5±38.9天和43.3±24.9天。A组和B组脓尿消失所需的平均天数分别为76.5±23.0天和68.2±17.9天。A组和B组经学生t检验无显著差异。(摘要截断于250字)