Schiøtz H A
Gynekologisk avdeling Vestfold sentralsykehus, Tønsberg.
Tidsskr Nor Laegeforen. 1996 Jan 20;116(2):246-8.
This prospective study was carried out to establish the risk of postoperative asymptomatic bacteriuria developing into a symptomatic urinary tract infection if left untreated. Among 454 women who underwent routine gynaecological surgery using transurethral catheters for a mean of 1.4 days, 243 (53.5%) had postoperative bacteriuria and 74 (16.3%) developed urinary tract infection. Positive urine cultures showed a low predictive value for infection, even when combined with the presence of pyuria. Among 174 women discharged with asymptomatic bacteriuria, 36 (20.7%) developed urinary tract infection, of which all but two were caused by Gram-negative organisms or enterococci. A set of recommendations for handling postoperative bacteriuria is proposed.
本前瞻性研究旨在确定术后无症状菌尿症若不治疗发展为有症状尿路感染的风险。在454例接受经尿道导管平均1.4天的常规妇科手术的女性中，243例（53.5%）有术后菌尿症，74例（16.3%）发生尿路感染。尿培养阳性对感染的预测价值较低，即使与脓尿并存时也是如此。在174例有无症状菌尿症出院的女性中，36例（20.7%）发生尿路感染，其中除2例之外均由革兰氏阴性菌或肠球菌引起。提出了一套处理术后菌尿症的建议。
