Junuzovic Dzelaludin, Hasanbegovic Munira
Urology Clinic, Clinical Center of Sarajevo University, Bosnia and Herzegovina.
Med Arch. 2014 Aug;68(4):249-53. doi: 10.5455/medarh.2014.68.249-253. Epub 2014 Jul 31.
Endourological procedures are performed according to the principles of aseptic techniques, jet still in certain number of patients urinary tract infections may occur. Considering the risk of urinary tract infection, there is no unique opinion about the prophylactic use of antibiotics in endourological procedures.
The objective of this study was to determine the connection between endourological procedures and occurrence of urinary infections and to analyze the risk factors of urinary infection for patients who were hospitalized at the Urology Clinic of the Clinical Center University of Sarajevo CCUS.
The research was conducted as a prospective study on a sample of 208 patients of both genders, who were hospitalized at the Urology Clinic of the CCUS and to whom some endourological procedure was indicated for diagnostic or therapeutic purposes. We analyzed data from patient's histories of illness, laboratory tests taken at admission and after endourological procedures, also surgical programs for endoscopic procedures. All patients were clinically examined prior to endoscopic procedures while after the treatment attention was focused to the symptoms of urinary tract infections.
Statistical analysis of the tested patients indicates that there is no significant difference in the presence of postoperative, compared to preoperative bacteriuria, which implies that the endourological procedures are safe procedures in terms of urinary tract infections. Preoperatively, the most commonly isolated bacteria was Escherichia coli (30.9%) and postoperatively, Enterococcus faecalis (25%). Statistically significant effect on the occurrence of postoperative bacteriuria has preoperative bacteriuria, duration of postoperative catheterization, and duration of hospitalization.
In everyday urological practice, it is very important to identify and control risk factors for the development of urinary infection after endourological procedures, with main objective to minimize occurrence of infectious complications.
腔内泌尿外科手术是根据无菌技术原则进行的，但仍有一定数量的患者会发生尿路感染。考虑到尿路感染的风险，对于腔内泌尿外科手术中预防性使用抗生素尚无统一意见。
本研究的目的是确定腔内泌尿外科手术与尿路感染发生之间的联系，并分析萨拉热窝临床中心大学泌尿外科诊所住院患者尿路感染的危险因素。
本研究为前瞻性研究，样本包括208例男女患者，他们在萨拉热窝临床中心大学泌尿外科诊所住院，因诊断或治疗目的接受了一些腔内泌尿外科手术。我们分析了患者病史、入院时和腔内泌尿外科手术后进行的实验室检查数据，以及内镜手术的手术方案。所有患者在进行内镜手术前均接受临床检查，治疗后则关注尿路感染的症状。
对受试患者的统计分析表明，术后菌尿的发生率与术前相比无显著差异，这意味着就尿路感染而言，腔内泌尿外科手术是安全的手术。术前最常分离出的细菌是大肠杆菌（30.9%），术后是粪肠球菌（25%）。术前菌尿、术后导尿持续时间和住院时间对术后菌尿的发生有统计学显著影响。
在日常泌尿外科实践中，识别和控制腔内泌尿外科手术后尿路感染发生的危险因素非常重要，主要目的是尽量减少感染并发症的发生。
