[Urinary tract infection and surgical disorders of the lower urinary tract].
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.
Carpentier
J P
JP
Hôpital d'Instruction des Armées A. Lavéran, Marseille Armées.
Coursange
F
F
Mianne
D
D
Raphnon
G C
GC
Aubert
M
M
Barnaud
P
P
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*
D000892:Anti-Infective Agents, Urinary
Infection urinaire et affections chirurgicales du bas appareil urinaire.