Lo Tsia-Shu, Khanuengkitkong Siwatchaya, Tan Yiap Loong, Dass Anil Krishna, Wu Pei-Ying, Al-Kharabsheh Ahlam Mahmoud
Division of Urogynecology, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taoyuan, Taiwan; School of Medicine, Chang Gung University, Taoyuan, Taiwan.
Aust N Z J Obstet Gynaecol. 2014 Aug;54(4):366-70. doi: 10.1111/ajo.12217. Epub 2014 May 19.
To evaluate the incidence of bacteriuria after outpatient diagnostic flexible cystoscopy utilising sterile catheter urine collection technique in women.
This is a prospective observational study on 78 women who had outpatient flexible cystoscopy for various indications between March and December 2011. Urine for culture was collected by transurethral catheterisation three to five days before cystoscopy, and a second urine sample was collected five to seven days after the procedure. Antibiotic prophylaxis was not administered. Significant bacteriuria was defined as 10(2) cfu/mL or more of a single organism cultured.
Five (6.4%) had significant bacteriuria and were asymptomatic. The most common organism cultured was Escherichia coli in 4 (80%) of the infected women. No other cystoscopic complication was observed. The mean age was 54.7 years (range 27-80), mean parity was 2.8 (range 0-7). In the study group, 54 (69.2%) women were postmenopausal, 9 (11.5%) had diabetes mellitus, 42 (53.8%) had pelvic organ prolapse and 22 (28.2%) had a prior hysterectomy. Most common indications for cystoscopy were hematuria and recurrent UTI, 48 (61.5%) and 22 (28.2%) women respectively. The cystoscopic findings were normal in 59 (75.6%) women. The procedure was completed within five minutes in all participants.
The incidence of bacteriuria following outpatient flexible cystoscopy is low.
评估采用无菌导尿尿液采集技术的门诊诊断性柔性膀胱镜检查术后女性菌尿症的发生率。
这是一项对78名女性进行的前瞻性观察研究，这些女性在2011年3月至12月期间因各种适应证接受了门诊柔性膀胱镜检查。在膀胱镜检查前三至五天通过经尿道插管收集用于培养的尿液，并在手术后五至七天收集第二份尿液样本。未给予抗生素预防。显著菌尿症定义为培养出单一微生物且菌落形成单位每毫升达到10(2) 或更多。
五名（6.4%）患者有显著菌尿症且无症状。培养出的最常见微生物是大肠杆菌，在4名（80%）受感染女性中出现。未观察到其他膀胱镜检查并发症。平均年龄为54.7岁（范围27 - 80岁），平均产次为2.8（范围0 - 7）。在研究组中，54名（69.2%）女性已绝经，9名（11.5%）患有糖尿病，42名（53.8%）患有盆腔器官脱垂，22名（28.2%）曾接受子宫切除术。膀胱镜检查最常见的适应证分别是血尿和复发性尿路感染，分别有48名（61.5%）和22名（28.2%）女性。59名（75.6%）女性的膀胱镜检查结果正常。所有参与者的检查过程均在五分钟内完成。
门诊柔性膀胱镜检查术后菌尿症的发生率较低。
