title: [Urinary tract infection and surgical disorders of the lower urinary tract].
abstract: Infection is a constant concern during perioperative period. Bacteremia occur during intervention and immediate postoperative period. They are the risk of acute complications, mainly septic shock with a high mortality rate. Escherichia coli is the germ most often found, then Enterococcus and other gram-negative germs. Diagnosis of an urinary infection is made difficult because the presence of a vesical catheter; so, 10(3) bacteria per ml. have to be considered as pathological. Two therapeutic behaviours can be considered in practice: suitable antibiotherapy in obvious infections, but sterilization of urines must not delay surgical intervention, short-time peri-operative prophylaxis cephalosporins of the 2nd or 3rd generation are most often utilized. Overseas, trimethoprim associated with sulfamides can be administrated per os every 2 hours before surgical intervention, at the time of anesthesia for example.
authors.affiliation: Hôpital d'Instruction des Armées A. Lavéran, Marseille Armées.
authors.forename: J P
authors.initials: JP
authors.lastname: Carpentier
authors.forename: F
authors.initials: F
authors.lastname: Coursange
authors.forename: D
authors.initials: D
authors.lastname: Mianne
authors.forename: G C
authors.initials: GC
authors.lastname: Raphnon
authors.forename: M
authors.initials: M
authors.lastname: Aubert
authors.forename: P
authors.initials: P
authors.lastname: Barnaud
mesh_terms: D000892:Anti-Infective Agents, Urinary / Q000627:therapeutic use; D001424:Bacterial Infections / Q000150:complications; D006090:Gram-Negative Bacteria; D006801:Humans; D014552:Urinary Tract Infections / Q000209:etiology* / Q000628:therapy; D014570:Urologic Diseases / Q000150:complications / Q000601:surgery*
chemical_list: D000892:Anti-Infective Agents, Urinary
vernacular_title: Infection urinaire et affections chirurgicales du bas appareil urinaire.