尿道中段吊带置入前后的尿路感染：培养阳性诊断和危险因素分析。
Urinary tract infection before and after mid-urethral slings: culture-proven diagnosis and analysis of risk factors.
机构信息
Urology and Nephrology Center, Urology Department, Mansoura University, Mansoura, Egypt.
出版信息
Int Urol Nephrol. 2011 Jun;43(2):345-51. doi: 10.1007/s11255-010-9807-7. Epub 2010 Aug 1.
OBJECTIVES
To study prevalence of UTI in women with SUI before and after mid-urethral slings based on culture-proven diagnosis.
MATERIALS AND METHODS
Clean catch midstream urine samples were collected and sent for agar culture in 150 patients before and on follow-up after mid-urethral slings visit. Degree of agreement between culture-proved UTI and clinically suspected was assessed. In addition, risk factors for UTI were analyzed.
RESULTS
Preoperative culture was positive in 9 (6%) patients, 7 of them were asymptomatic. UTI was primarily diagnosed in 39 (26%) patients suggested by symptoms. No bacterial growth was detected at first postoperative day. There were 6 out of 62 (9.7%) patients who had positive urine cultures at follow-up visits, all of them were symptomatic. Eleven (18%) patients were diagnosed as UTI, based on clinical suspicion.
CONCLUSION
In contrast to UTI before surgery, asymptomatic UTI is unlikely to happen after mid-urethral sling.
目的
基于培养确诊，研究女性压力性尿失禁患者在接受中段尿道吊带术前后尿路感染的发生率。
材料与方法
150 名女性患者在接受中段尿道吊带术前后采集清洁中段尿样并进行琼脂培养，以送培养检查。评估培养确诊的尿路感染与临床疑似之间的一致性。此外，还分析了尿路感染的危险因素。
结果
术前培养阳性 9 例（6%），其中 7 例无症状。根据症状，初步诊断为尿路感染 39 例（26%）。术后第 1 天无细菌生长。62 例中有 6 例（9.7%）在随访中出现尿液培养阳性，均有症状。根据临床疑似，诊断为尿路感染 11 例（18%）。
结论
与术前尿路感染相比，中段尿道吊带术后不太可能发生无症状尿路感染。
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