Ben-Zion I Z, Dagtyar P M, Kaneti J
Urology Dept., Soroka Medical Center, Beer Sheba.
Harefuah. 1997 Jul;133(1-2):1-2, 80.
To assess the prevalence of infection and colonization of the prostate by bacteria, chip tissue samples from 166 patients undergoing retropubic prostatectomy were submitted for bacterial tissue culture. In 28 patients with an indwelling catheter before surgery, E. coli, Klebsiella, Pseudomonas and Enterobacter were the commonest species encountered, the first the most common. In only 7 patients (20%) who didn't have an indwelling catheter before operation was the culture positive. We confirmed that the longer the time the catheter was indwelling before surgery, the greater the likelihood of positive cultures. However, postoperative outcome and morbidity were not related to culture results. We conclude that even though it is worth trying to sterilize the urine and prostate before prostatectomy, the effect on the postoperative outcome is minimal when proper antimicrobial therapy is given perioperatively.
为评估细菌感染及定植于前列腺的发生率，对166例行耻骨后前列腺切除术患者的芯片组织样本进行细菌组织培养。在术前留置导尿管的28例患者中，大肠埃希菌、克雷伯菌、假单胞菌和肠杆菌是最常见的菌种，其中大肠埃希菌最为常见。在术前未留置导尿管的患者中，仅7例（20%）培养结果呈阳性。我们证实，术前导尿管留置时间越长，培养结果呈阳性的可能性越大。然而，术后结局及发病率与培养结果无关。我们得出结论，尽管在前列腺切除术前对尿液及前列腺进行除菌处理值得一试，但围手术期给予适当的抗菌治疗时，其对术后结局的影响微乎其微。
