Department of Urinary Surgery, Binzhou Central Hospital, Binzhou, China.
Eur Rev Med Pharmacol Sci. 2017 Oct;21(20):4487-4492.
To analyze the related influencing factors of urinary tract infection in patients undergoing transurethral resection of the prostate (TURP).
A total of 343 patients with benign prostatic hyperplasia admitted to this hospital from January 2013 to December 2016, were selected and treated by TURP. Patients were divided into infection group and non-infection group according to the occurrence of urinary tract infection after operation. The possible influencing factors were collected to perform univariate and multivariate logistic regression analysis.
There were 53 cases with urinary tract infection after operation among 343 patients with benign prostatic hyperplasia, accounting for 15.5%. The univariate analysis displayed that the occurrence of urinary tract infection in patients undergoing TURP was closely associated with patient's age ≥ 65 years old, complicated diabetes, catheterization for urinary retention before operation, no use of antibiotics before operation and postoperative indwelling catheter duration ≥ 5 d (p < 0.05). Multivariate logistic regression analysis revealed that age ≥ 65 years old, complicated diabetes, catheterization before operation, indwelling catheter duration ≥ 5 d and no use of antibiotics before operation were risk factors of urinary tract infection in patients receiving TURP (p < 0.05).
The patient's age ≥ 65 years old, catheterization before operation, complicated diabetes and long-term indwelling catheter after operation, can increase the occurrence of urinary tract infection after TURP, while preoperative prophylactic utilization of anti-infective drugs can reduce the occurrence of postoperative urinary tract infection.
分析经尿道前列腺切除术（TURP）患者发生尿路感染的相关影响因素。
选取 2013 年 1 月至 2016 年 12 月在我院接受 TURP 治疗的 343 例良性前列腺增生患者，根据术后是否发生尿路感染将患者分为感染组和非感染组。收集可能的影响因素，进行单因素和多因素 logistic 回归分析。
343 例良性前列腺增生患者中术后发生尿路感染 53 例，占 15.5%。单因素分析显示，TURP 患者术后尿路感染的发生与患者年龄≥65 岁、合并糖尿病、术前留置导尿、术前未使用抗生素、术后留置导尿管时间≥5 d 密切相关（p<0.05）。多因素 logistic 回归分析显示，年龄≥65 岁、合并糖尿病、术前留置导尿、术后留置导尿管时间≥5 d、术前未使用抗生素是 TURP 患者尿路感染的危险因素（p<0.05）。
患者年龄≥65 岁、术前留置导尿、合并糖尿病以及术后长期留置导尿管，会增加 TURP 术后尿路感染的发生，而术前预防性使用抗感染药物可以降低术后尿路感染的发生。
