脊髓损伤患者尿动力学检查的发病率：是否需要预防性使用抗生素？
Morbidity of urodynamic testing in patients with spinal cord injury: is antibiotic prophylaxis necessary?
作者信息
Pannek J, Nehiba M
机构信息
Division of Neuro-Urology, Department of Urology and Neuro-Urology, Ruhr-Universität Bochum, Marienhospital Herne, Germany.
出版信息
Spinal Cord. 2007 Dec;45(12):771-4. doi: 10.1038/sj.sc.3102114. Epub 2007 Aug 21.
STUDY DESIGN
Prospective, non-randomized study.
OBJECTIVES
To assess the incidence of urinary tract infection after urodynamics in patients with spinal cord injury.
SETTING
Outpatient clinic of a university hospital in Germany.
METHODS
Urinary tract infection and clinical symptoms in 109 consecutive outpatients with spinal cord injury following urodynamic evaluation were studied.
RESULTS
Data from 72 patients were evaluable. Of these, seven patients (9.7%) developed a significant urinary tract infection. Five of these were symptomatic. Pre-existing asymptomatic bacteriuria was not associated with a higher risk for post-interventional infection. The technique of the bladder management did not correlate with urinary tract infection rates.
CONCLUSION
In this study, symptomatic urinary tract infections after cystometry were not infrequent. Therefore, it seems that antibiotic prophylaxis cannot be omitted in patients with spinal cord injury undergoing urodynamic investigation.
研究设计
前瞻性、非随机研究。
目的
评估脊髓损伤患者尿动力学检查后尿路感染的发生率。
地点
德国一家大学医院的门诊。
方法
对109例连续接受尿动力学评估的脊髓损伤门诊患者的尿路感染及临床症状进行研究。
结果
72例患者的数据可评估。其中，7例患者（9.7%）发生了严重的尿路感染。其中5例有症状。既往无症状菌尿与介入后感染风险较高无关。膀胱管理技术与尿路感染率无关。
结论
在本研究中，膀胱测压术后有症状的尿路感染并不少见。因此，对于接受尿动力学检查的脊髓损伤患者，似乎不能省略抗生素预防措施。
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