Transurethral resection of the prostate without routine antibiotic prophylaxis: screening for complications.
In a prospective study of 61 patients undergoing transurethral resection of the prostate without antibiotic prophylaxis there were no major postoperative complications in 55 cases (90%). A bacteriological screen involving culture of a preoperative sample of urine, an immediate preoperative urethral swab, prostatic chippings, immediate postoperative blood cultures and catheter-removal sample of urine was carried out to investigate the ability to detect infective complications. The blood cultures had a predictive value of 80% (sensitivity 80%, specificity 93%). However, the result was available in time to influence management in only one of four patients with postoperative septicaemia.
Siriwardena
A K
AK
Department of Surgery, Bangour General Hospital, West Lothian, UK.
Small
P K
PK
Younger
A
A
Wallace
I W
IW
D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D001437:Bacteriuria / Q000175:diagnosis; D006801:Humans; D007239:Infections / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis; D011292:Premedication; D011446:Prospective Studies; D011468:Prostatectomy / Q000379:methods*; D012189:Retrospective Studies
D000900:Anti-Bacterial Agents