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BLOOD STREAM INFECTION FOLLOWING RETROPUBIC PROSTATECTOMY
Author(s) -
MARSHALL A.
Publication year - 1967
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1967.tb09832.x
Subject(s) - bacteremia , medicine , incidence (geometry) , catheter , urinary system , urine , surgery , prostatectomy , bacteriuria , indwelling catheter , blood stream , prostate , antibiotics , biology , microbiology and biotechnology , cancer , physics , optics
SUMMARY Pre– and post–operative blood culture studies were made in 196 patients having retropubic prostatectomy. In all patients having urethral catheter drainage before operation the incidence of bacteremia was reduced when a Gibbon or Franklin catheter was used and the drainage system was of the closed type. Bacteremia, when protracted, may be a predisposing factor in post–operative mortality from pyelonephritis. In patients whose urine was sterile at operation the incidence of bacteremia was low. In patients whose urine was infected at operation the incidence of bacteræmia could be very high. In infected patients bacteræmia was significantly reduced when appropriate broad–spectrum antimicrobials were given over the period of operation. Infected patients with bacteremia had a significantly higher incidence of severe upper urinary tract infective complications following operation.