Truzzi José Carlos, Figueiredo André Avarese, Correia João Antônio Pereira, Pontes José, Cabrini Marcelo, Ramacciotti Lorenzo S, de Campos Caio Cesar Citatini, Anzolch Karin Marise Jaeger, Cunha Antônio Peixoto de Lucena, Mestrinho Bruno V, Koifman Leandro, Broglio Marcos, Barroso Ubirajara, Favorito Luciano A, de Bessa José
Escola Paulista de Medicina, Universidade Federal de São Paulo - Unifesp, São Paulo, SP, Brasil.
Faculdade de Medicina, Universidade Federal de Juiz de Fora - UFJF, Juiz de Fora, MG, Brasil.
Int Braz J Urol. 2025 Nov-Dec;51(6). doi: 10.1590/S1677-5538.IBJU.2025.0333.
In this review we will provide recommendations for surgical site infection (SSI) prophylaxis in urological diagnostic and surgical procedures.
We performed a narrative review of the literature in PubMed (Medline), EMBASE, LILACS, Web of Science, and Cochrane Collaboration databases using the terms "infection," "surgery," "urology," and "antibiotic prophylaxis" Results: We suggest recommendations of prophylactic antibiotic in the follow procedures: prostate biopsy, Urethrocystoscopy, Extracorporeal Shock Wave Lithotripsy (ESWL) for Urinary Stones, endoscopic ureterolithotripsy, percutaneous nephrolitothomy, Transurethral Resection of the Prostate (TURP) and Prostatic Enucleation, Transurethral Resection of Bladder Tumor (TURBT), Intravesical Botulinum Toxin Injection, surgical correction of female stress incontinence, Surgical Correction of Pelvic Organ Prolapse, urological prosthesis implantation and Open, Laparoscopic, and Robotic Urologic Surgery Conclusions: Consideration in SSI prophylaxis and the prophylactic antibiotic regimens in several urological procedures are show in this paper and will be useful to urologic practice.
在本综述中，我们将为泌尿外科诊断和手术操作中的手术部位感染（SSI）预防提供建议。
我们使用“感染”“手术”“泌尿外科”和“抗生素预防”等术语，对PubMed（Medline）、EMBASE、LILACS、科学网和Cochrane协作网数据库中的文献进行了叙述性综述。结果：我们建议在以下手术中使用预防性抗生素：前列腺活检、尿道膀胱镜检查、体外冲击波碎石术（ESWL）治疗尿路结石、内镜输尿管碎石术、经皮肾镜取石术、经尿道前列腺切除术（TURP）和前列腺剜除术、经尿道膀胱肿瘤切除术（TURBT）、膀胱内注射肉毒杆菌毒素、女性压力性尿失禁的手术矫正、盆腔器官脱垂的手术矫正、泌尿外科假体植入以及开放、腹腔镜和机器人辅助泌尿外科手术。结论：本文展示了在几种泌尿外科手术中预防SSI及预防性抗生素方案的考虑因素，对泌尿外科实践将有所帮助。
