[Monodose aztreonam in the prevention of infection after extracorporeal shockwave lithotripsy. Theoretical premises].
A series of 905 patients suffering from renal calculosis and treated with ESWL is considered and the indications for antibiotic treatment with prophylactic or prolonged aztreonam reviewed: 1) for calculi with sterile urine or occasionally infected with I.S.T. less than 200, monodose prophylaxis is certainly advantageous; 2) for calculi with sterile urine or occasionally infected with I.S.T. between 200 and 500, prolonged antibiotic cover is useful; 3) for calculi with chronic infection or with I.S.T. greater than 500, prolonged target antibiotic therapy is necessary; 4) aztreonam is an effective drug for both monodose prophylaxis and for cover treatment. In more complex cases, an antibiogram indication is necessary.
P
P
Puppo
C
C
Caviglia
F
F
Germinale
L
L
Giuliani
D001398:Aztreonam / Q000008:administration & dosage / Q000627:therapeutic use*; D004341:Drug Evaluation; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects*; D014552:Urinary Tract Infections / Q000209:etiology / Q000517:prevention & control* / Q000628:therapy
D001398:Aztreonam
L'aztreonam in monodose nella profilassi delle infezioni dopo ESWL. Premesse teoriche.