Gasser T C, Madsen P O
Departement Chirurgie, Kantonsspitals Basel.
Wien Med Wochenschr. 1991;141(23-24):564-6.
Infectious complications following urologic surgery include bacteriuria, bacteremia, sepsis, acute pyelonephritis, and wound infection. Antimicrobial prophylaxis reduces the risk of some of these complications and is recommended in transrectal core biopsy of the prostate, transurethral surgery, open prostatectomy, and stone surgery. Prophylaxis does not appear to be beneficial in patients undergoing transrectal needle or transperineal core biopsy of the prostate, cystoscopy, orchiectomy, hydrocelectomy, and simple nephrectomy. Patients with urinary tract infection preoperatively should receive antimicrobial treatment prior to surgery.
泌尿外科手术后的感染并发症包括菌尿症、菌血症、脓毒症、急性肾盂肾炎和伤口感染。抗菌预防可降低其中一些并发症的风险，建议在前列腺经直肠穿刺活检、经尿道手术、开放性前列腺切除术和结石手术中使用。对于接受前列腺经直肠穿刺或经会阴穿刺活检、膀胱镜检查、睾丸切除术、鞘膜积液切除术和单纯肾切除术的患者，预防似乎并无益处。术前患有尿路感染的患者应在手术前接受抗菌治疗。
