[Urinary tract infections after gynecological surgery].
In a ten year period we selected at random 235 patients, who underwent a vaginal or abdominal hysterectomy or a radical operation (Latzko-Meigs) and evaluated their postoperative morbidity with special regard to urinary tract infections. In the period of 1971 to 1979 we observed a significant increase of urinary tract infections following vaginal hysterectomy, especially after additional colporrhaphia, as well as a significant increase of febrile postoperative phases after radical hysterectomy. Also a shift towards so called "nosocomial bacteria" (Klebsiella, Aerobacter and Pseudomonas) was observed. We therefore changed our perioperative management of Latzko-Meigs operation (closed urine catheter system, perioperative antibiotic prophylaxis). The comparison of the groups before and after this change show a significant decrease of all signs of postoperative morbidity observed.
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001317:Austria; D004754:Enterobacter; D004756:Enterobacteriaceae Infections / Q000453:epidemiology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007045:Hysterectomy, Vaginal; D007710:Klebsiella Infections / Q000453:epidemiology; D008875:Middle Aged; D011183:Postoperative Complications; D011552:Pseudomonas Infections / Q000453:epidemiology; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000209:etiology
D000900:Anti-Bacterial Agents
Harnwegsinfekte nach gynäkologischen Operationen.