Fujita K, Sayama T, Munakata A
Nihon Hinyokika Gakkai Zasshi. 1989 Nov;80(11):1605-8. doi: 10.5980/jpnjurol1989.80.1605.
From 333 patients who underwent transurethral prostatectomy between May 1983 and April 1987, 123 strains of bacteria were isolated before surgery. Although all of the cocci which were sensitive to the used antimicrobials disappeared after surgery, significant difference was not observed between the disappearance rates of sensitive and non-sensitive gram-negative bacilli (disappearance rates were 86.4% and 77.8%). About two-third (34/57) of postoperative bacteria were those not isolated before surgery and patients with preoperatively infected urine had more chance than patients with sterile urine to develop infection by bacteria which was not pre-operatively detected. Precise preoperative condition is not known at the time of surgery and the sensitivity of preoperatively reported bacteria is, although important, not a sufficient information. We can only guess bacteria which might become apparent after prostatectomy.
在1983年5月至1987年4月期间接受经尿道前列腺切除术的333例患者中，术前分离出123株细菌。尽管所有对所用抗菌药物敏感的球菌在术后消失，但敏感和不敏感革兰氏阴性杆菌的消失率之间未观察到显著差异（消失率分别为86.4%和77.8%）。约三分之二（34/57）的术后细菌是术前未分离出的，术前尿液感染的患者比无菌尿液患者更有可能发生术前未检测到的细菌感染。手术时术前的确切情况尚不清楚，术前报告细菌的敏感性虽然重要，但并非充分信息。我们只能猜测前列腺切除术后可能出现的细菌。
