Dawson Melissa L, Cramer Meagan S, Thompson Dana R, Vakili Babak
Female Pelvic Medicine and Reconstructive Surgery, Department of OB/GYN, Drexel University College of Medicine, Philadelphia, PA.
Department of Obstetrics and Gynecology, Christiana Care Health System, Newark, DE, USA.
Curr Urol. 2018 Jun;11(4):212-217. doi: 10.1159/000447221. Epub 2018 Mar 30.
BACKGROUND/AIMS: The rate of urinary tract infection (UTI) after pelvic reconstructive surgery ranges from 9 to 48% and the most common uropathogen is (). The aim of the study is to identify the predominant uro-pathogen from urine cultures in women undergoing pelvic reconstructive surgery.
A retrospective review was conducted on women who underwent pelvic reconstructive surgery at a tertiary care center from July 2013 to June 2015. Data was collected from each postoperative visit to evaluate urinary tract symptoms, culture results and treatment in the 3-month postoperative interval.
There were 880 cases reviewed (mean age of 59.6 years) during the study period. The most common organism in positive cultures was after surgery. The total UTI rate was 11.3%. Patients discharged with a Foley catheter had a UTI rate of 65.6% (p = 0.003). Diabetes, neurologic disease, tobacco use, recurrent UTIs and breast or gynecologic cancers had no significant association with UTI after surgery.
The most common organism identified is . Almost 12% of patients will develop a UTI after pelvic reconstructive surgery. The results of this study can influence management of lower urinary tract symptoms in the postoperative period.
背景/目的：盆腔重建手术后尿路感染（UTI）的发生率在9%至48%之间，最常见的尿路病原体是（）。本研究的目的是确定接受盆腔重建手术的女性尿液培养中主要的尿路病原体。
对2013年7月至2015年6月在一家三级医疗中心接受盆腔重建手术的女性进行回顾性研究。收集每次术后随访的数据，以评估术后3个月内的尿路症状、培养结果和治疗情况。
研究期间共审查了880例病例（平均年龄59.6岁）。术后阳性培养中最常见的病原体是（）。UTI总发生率为11.3%。留置导尿管出院的患者UTI发生率为65.6%（p = 0.003）。糖尿病、神经系统疾病、吸烟、复发性UTI以及乳腺癌或妇科癌症与术后UTI无显著相关性。
确定的最常见病原体是（）。近12%的患者在盆腔重建手术后会发生UTI。本研究结果可影响术后下尿路症状的管理。
