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[外科妇科中的尿路感染,特别涉及尿液引流技术]

[Urinary tract infections in surgical gynecology with special reference to the urine withdrawal technic].

作者信息

Dziambor H, Renziehausen K, Sinn V, Sprössig M, Wachtel D, Pfister W

出版信息

Zentralbl Gynakol. 1977;99(13):776-83.

PMID:899356
Abstract

In a direct comparison series between 400 midstream urinesamples and 400 suprapubic aspiration specimens, but as well in an indirect comparison series of the same number of catheter urine-samples, bacteriological examinations were executed by means of the culture method before and after gynaecological operations. 19,5% of the suprapubic aspirates, 20,5% of the catheter specimens, and 25,5% of the midstreamsamples showed a significant bacteriuria. The number of false positive findings was in regard of the midstream urinesamples more than a quarter of the total infection rate. In midstreamsamples, mixed infections were 3,4 times more frequent than in catheter specimens. After a discussion of the results under special consideration of the high number of findings needing control in connection with operative problems, a valuation of the obtaining of urine in the field of operative gynaecology is demonstrated.

摘要

在400份中段尿样本和400份耻骨上膀胱穿刺抽吸样本的直接比较系列中,以及在相同数量的导尿管尿液样本的间接比较系列中,在妇科手术前后通过培养法进行细菌学检查。19.5%的耻骨上膀胱穿刺抽吸样本、20.5%的导尿管样本和25.5%的中段尿样本显示有显著菌尿。中段尿样本的假阳性结果数量超过总感染率的四分之一。在中段尿样本中,混合感染的频率是导尿管样本的3.4倍。在特别考虑到与手术问题相关的大量需要控制的结果进行讨论之后,展示了对妇科手术领域尿液采集的评估。

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