Westenfelder M, Rosset K, Pelz K
Department of Urology, University of Freiburg i. Br., FRG.
Scand J Urol Nephrol Suppl. 1987;104:59-63.
Development of nosocomial and iatrogenic UTI was investigated over 3 months period of time. Included were 140 patients following 228 instrumentations or endoscopical or surgical interventions. Of these 84 were carried out under antimicrobial medication. 30 UTIs developed 1-8 days after the various procedures (= 13.2%): 10% after TUR-B, 14% after TUR-P and ureteral instrumentation, 16% following cystoscopy and catheterisation. No significant difference was observed between: Males and females, patients with or without antimicrobial medication, younger and older patients and after long or short procedures. Indwelling catheters remain sterile for 3 days. Though antimicrobial prophylaxis did not significantly influence the generally low rate of infection it appeared as a trend that the elderly patient who requires repeated interventions and who suffers from additional diseases as diabetes, consuming tumours and renal insufficiency may benefit from medication.
在3个月的时间里对医院获得性和医源性尿路感染的发生情况进行了调查。研究对象包括140例接受了228次器械操作或内镜或外科手术干预的患者。其中84次操作是在使用抗菌药物的情况下进行的。在各种操作后的1 - 8天内发生了30例尿路感染（= 13.2%）：经尿道膀胱肿瘤电切术后发生率为10%，经尿道前列腺电切术和输尿管器械操作后为14%，膀胱镜检查和导尿术后为16%。在以下方面未观察到显著差异：男性和女性、使用或未使用抗菌药物的患者、年轻和老年患者以及手术时间长短。留置导尿管可保持无菌3天。尽管抗菌预防对总体较低的感染率没有显著影响，但似乎有这样一种趋势，即需要反复干预且患有糖尿病、消耗性肿瘤和肾功能不全等其他疾病的老年患者可能从药物治疗中获益。
