title: Antibiotic prophylaxis in urological surgery, a European viewpoint.
abstract: Surgical site infections (SSI) including urinary tract infections (UTI) cause a significant morbidity in urological surgery. Antibiotic prophylaxis is one of several factors impacting on infection rates. Antibiotic prophylaxis is relevant only for clean and clean-contaminated operations and in the absence of bacterial growth in the urine. Strict classification of urological procedures is lacking, but a proposal is presented elsewhere. Only TURP and transrectal core prostate biopsy are well documented. The present review confirms that there is a lack of hard data, insufficient consistency in classification and definitions, and that new well-powered RCT and large multicentre quality cohort studies including risk factor analysis are necessary to improve recommendations for antibiotic prophylaxis in urologic surgery.
authors: Department of Urology, Skåne University Hospital, University of Lund, S-20502 Malmö, Sweden. magnus.grabe@skane.se
authors: Magnus
authors: M
authors: Grabe
mesh_terms: D019072:Antibiotic Prophylaxis / Q000379:methods*; D005060:Europe; D006801:Humans; D011300:Preoperative Care / Q000379:methods*; D013530:Surgical Wound Infection / Q000517:prevention & control*; D013520:Urologic Surgical Procedures / Q000379:methods*