Robinson M R, Cross R J, Shetty M B, Fittall B
Br J Urol. 1980 Feb;52(1):10-4. doi: 10.1111/j.1464-410x.1980.tb02911.x.
The incidence of bacteriaemia and bacteriogenic shock was studied in 2 series of patients undergoing urological procedures. In the first series (A), 52 of 4333 urological patients had symptoms of bacteriogenic shock. Twenty-five of these had a positive blood culture, giving an incidence of shock with proven bacteriaemia of 0.58%. In the second series (B) 628 patients had blood cultures taken after urological procedures with an incidence of bacteriaemia of 12.7%. Bacteriaemia is most common after prostatic surgery (transurethral prostatectomy 2.7%, retropubic, prostatectomy 37%, prostatic biopsy 20%), and is usually due to Esch. coli, Proteus species and Ps. aeruginosa. In hospital practice these organisms are unlikely to be sensitive to common antibiotics and initial therapy with an aminoglycoside is justified, while awaiting the results of blood culture.
对两组接受泌尿外科手术的患者的菌血症和细菌性休克发生率进行了研究。在第一组（A组）中，4333例泌尿外科患者中有52例出现细菌性休克症状。其中25例血培养呈阳性，确诊菌血症性休克的发生率为0.58%。在第二组（B组）中，628例患者在泌尿外科手术后进行了血培养，菌血症发生率为12.7%。菌血症在前列腺手术后最为常见（经尿道前列腺切除术为2.7%，耻骨后前列腺切除术为37%，前列腺活检为20%），通常由大肠杆菌、变形杆菌属和铜绿假单胞菌引起。在医院实际情况中，这些微生物不太可能对常用抗生素敏感，在等待血培养结果期间，使用氨基糖苷类进行初始治疗是合理的。
