[Postoperative bacteriuria and urinary tract infections in gynecological patients].
This prospective study was carried out to establish the risk of postoperative asymptomatic bacteriuria developing into a symptomatic urinary tract infection if left untreated. Among 454 women who underwent routine gynaecological surgery using transurethral catheters for a mean of 1.4 days, 243 (53.5%) had postoperative bacteriuria and 74 (16.3%) developed urinary tract infection. Positive urine cultures showed a low predictive value for infection, even when combined with the presence of pyuria. Among 174 women discharged with asymptomatic bacteriuria, 36 (20.7%) developed urinary tract infection, of which all but two were caused by Gram-negative organisms or enterococci. A set of recommendations for handling postoperative bacteriuria is proposed.
Schiøtz
H A
HA
Gynekologisk avdeling Vestfold sentralsykehus, Tønsberg.
D001437:Bacteriuria / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005831:Genital Diseases, Female / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000382:microbiology*; D011446:Prospective Studies; D014546:Urinary Catheterization / Q000009:adverse effects*; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology*; D014621:Vagina / Q000601:surgery