Bastable J R, Peel R N, Birch D M, Richards B
Br J Urol. 1977;49(7):689-93. doi: 10.1111/j.1464-410x.1977.tb04554.x.
The incidence of post-prostatectomy bacteriuria was measured in patients having no continuous bladder irrigation postoperatively, in those irrigated for 24 hours with chlorhexidine 1/5,000, and in those irrigated with normal saline. The infection rate after saline irrigation was greater than after chlorhexidine, but the infection rates after chlorhexidine irrigation and drainage alone were similar. The infection rate was higher in older patients, in those treated with retropubic rather than transurethral prostatectomies, in those who had postoperative catheters for more than 4 days, and in those admitted in acute retention of urine. The increase in infection rate associated with acute retention was seen only in the group treated with drainage alone postoperatively. Chlorhexidine irrigation appears to reduce the infection rate in these cases.
对术后未进行持续膀胱冲洗的患者、用1/5000洗必泰冲洗24小时的患者以及用生理盐水冲洗的患者测量前列腺切除术后菌尿的发生率。生理盐水冲洗后的感染率高于洗必泰冲洗后的感染率，但单纯洗必泰冲洗和引流后的感染率相似。老年患者、接受耻骨后前列腺切除术而非经尿道前列腺切除术的患者、术后留置导尿管超过4天的患者以及因急性尿潴留入院的患者感染率较高。与急性尿潴留相关的感染率增加仅在术后仅接受引流治疗的组中出现。洗必泰冲洗似乎可降低这些病例的感染率。
