Botto H
Service d'Urologie, CMC Foch, Suresnes.
Ann Fr Anesth Reanim. 1994;13(5 Suppl):S110-7. doi: 10.1016/s0750-7658(05)81785-x.
The opening of the urinary tract switches surgical and endoscopic urology to the clean contaminated category and therefore for each of them antibiotic prophylaxis has to be considered. Prophylactic antibiotics are only recommended before surgery in patients with sterile urine. Those with infected urine should have curative antibiotics. Prophylactic antibiotics are commonly recommended for transurethral resection of the prostate, transrectal biopsy of the prostate, renal transplant and radical cystectomy with ileal or colonic pouch for urinary diversion. It is worthless in diagnostic cystoscopy. ESWL and scrotal surgery. For other procedures more data are required to conclude.
尿路开放会将外科和内镜泌尿外科手术归类为清洁-污染手术，因此对于其中的每一种手术都必须考虑使用抗生素预防。仅建议在无菌尿液患者的手术前使用预防性抗生素。尿液感染的患者应使用治疗性抗生素。通常建议在前列腺经尿道切除术、前列腺经直肠活检、肾移植以及采用回肠或结肠膀胱替代术的根治性膀胱切除术时使用预防性抗生素。在诊断性膀胱镜检查、体外冲击波碎石术和阴囊手术中使用预防性抗生素没有价值。对于其他手术，还需要更多数据才能得出结论。
