title: [A questionnaire survey of antimicrobial prophylaxis to prevent perioperative infection in urological field in Japan].
abstract: OBJECTIVE
  To survey the present condition of administration method of the antimicrobial prophylactic (AMP) agents for the perioperative infection in Japan on revising "The Japanese guidelines for prevention of perioperative infections in urologic field (2006)".
  
  
  METHODS
  With the approval of the Japanese Urological Association (JUA) in 2011, all of the principal urological training institutions certified by JUA (n = 836) were encouraged to participate to survey their adherence to the JUA guidelines (published in 2006) for AMP to prevent perioperative infection in urological field, and 446 (53.3%) institutions responded to the questionnaire.
  
  
  RESULTS
  The rates of following the JUA guidelines of, "completely", "mainly", "not too much", and "not at all" were 6.5%, 69.7%, 22.0% and 1.6%, respectively. The guidelines were followed for open clean operations in 48.5%, open clean-contaminated operations in 66.4%, open contaminated operations in 61.8%, laparoscopic clean operations in 54.1%, laparoscopic clean-contaminated operations in 61.2%, transurethral resection of bladder tumor in 71.5%, transurethral resection of prostate in 68.9%, ureteroscopy and transurethral ureterolithotomy in 68.2%, prostate biopsy in 43.2%, and cystoscopy were in 42.2%, respectively. However, in terms of duration of AMP administration, the longer duration than those recommended by the guidelines were observed for clean surgery, transurethral resection of bladder tumor, ureteroscopy and transurethral ureterolithotomy, prostate biopsy, and cystoscopy.
  
  
  CONCLUSIONS
  In terms of kinds of AMP, the guidelines were almostly followed in all operative procedures. However, the duration of AMP administration were longer than those recommended by the guidelines. On revision of "Japanese guidelines for prevention of perioperative infections in urologic field (2006)", these data would be taken into consideration to avoid dissociation between the guidelines and the practical side in the urologists.
authors: Department of Urology, Hyogo College of Medicine. ytogo@hyo-med.ac.jp
authors: Yoshikazu
authors: Y
authors: Togo
authors: Rikiya
authors: R
authors: Taoka
authors: Shingo
authors: S
authors: Yamamoto
authors: Yoshiki
authors: Y
authors: Hiyama
authors: Teruhisa
authors: T
authors: Uehara
authors: Jiroh
authors: J
authors: Hashimoto
authors: Yuichiro
authors: Y
authors: Kurimura
authors: Satoshi
authors: S
authors: Takahashi
authors: Taiji
authors: T
authors: Tsukamoto
authors: Jun
authors: J
authors: Miyazaki
authors: Hiroyuki
authors: H
authors: Nishiyama
authors: Hiroshi
authors: H
authors: Kiyota
authors: Satoshi
authors: S
authors: Yazawa
authors: Mototsugu
authors: M
authors: Oya
authors: Mitsuru
authors: M
authors: Yasuda
authors: Takashi
authors: T
authors: Deguchi
authors: Kiyohito
authors: K
authors: Ishikawa
authors: Kiyotaka
authors: K
authors: Hoshinaga
authors: Minori
authors: M
authors: Matsumoto
authors: Katsumi
authors: K
authors: Shigemura
authors: Kazushi
authors: K
authors: Tanaka
authors: Soichi
authors: S
authors: Arakawa
authors: Masato
authors: M
authors: Fujisawa
authors: Koichiro
authors: K
authors: Wada
authors: Shinya
authors: S
authors: Uehara
authors: Toyohiko
authors: T
authors: Watanabe
authors: Hiromi
authors: H
authors: Kumon
authors: Kanao
authors: K
authors: Kobayashi
authors: Akio
authors: A
authors: Matsubara
authors: Masahiro
authors: M
authors: Matsumoto
authors: Takehiko
authors: T
authors: Sho
authors: Ryoichi
authors: R
authors: Hamasuna
authors: Tetsuro
authors: T
authors: Matsumoto
authors: Hiroshi
authors: H
authors: Hayami
authors: Takashi
authors: T
authors: Yamane
authors: Masayuki
authors: M
authors: Nakagawa
mesh_terms: D019072:Antibiotic Prophylaxis / Q000379:methods*; D006801:Humans; D017053:Infection Control / Q000379:methods*; D007564:Japan; D059035:Perioperative Period; D017410:Practice Guidelines as Topic; D011795:Surveys and Questionnaires; D013520:Urologic Surgical Procedures