Siriwardena A K, Small P K, Younger A, Wallace I W
Department of Surgery, Bangour General Hospital, West Lothian, UK.
J R Coll Surg Edinb. 1990 Apr;35(2):95-7.
In a prospective study of 61 patients undergoing transurethral resection of the prostate without antibiotic prophylaxis there were no major postoperative complications in 55 cases (90%). A bacteriological screen involving culture of a preoperative sample of urine, an immediate preoperative urethral swab, prostatic chippings, immediate postoperative blood cultures and catheter-removal sample of urine was carried out to investigate the ability to detect infective complications. The blood cultures had a predictive value of 80% (sensitivity 80%, specificity 93%). However, the result was available in time to influence management in only one of four patients with postoperative septicaemia.
在一项对61例未接受抗生素预防的经尿道前列腺切除术患者的前瞻性研究中，55例（90%）患者术后无严重并发症。进行了细菌学筛查，包括术前尿液样本培养、术前即刻尿道拭子、前列腺碎块、术后即刻血培养以及拔除导尿管时的尿液样本，以研究检测感染性并发症的能力。血培养的预测价值为80%（敏感性80%，特异性93%）。然而，对于4例术后败血症患者中只有1例，该结果能及时获得以影响治疗管理。
