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J. Korean Med. Sci. · Sep 2014
Multicenter StudyA prospective Korean multicenter study for infectious complications in patients undergoing prostate surgery: risk factors and efficacy of antibiotic prophylaxis.
- Eu Chang Hwang, Seung Il Jung, Dong Deuk Kwon, Gilho Lee, Jae Hyun Bae, Yong Gil Na, Seung Ki Min, Hwancheol Son, Sun Ju Lee, Jae Min Chung, Hong Chung, In Rae Cho, Young Ho Kim, Tae-Hyoung Kim, and In Ho Chang.
- Department of Urology, Chonnam National University, Hwasun, Korea. ; The Korean Association of Urogenital Tract Infection and Inflammation (KAUTII), Seoul, Korea.
- J. Korean Med. Sci. 2014 Sep 1; 29 (9): 1271-7.
AbstractThis multicenter study was undertaken to determine the efficacy of antibiotic prophylaxis and identify the risk factors for infectious complications after prostate surgery in Korean patients. A total of 424 patients who underwent surgery of the prostate were reviewed. All patients underwent urinalysis and urine culture preoperatively and postoperatively. Efficacy of antibiotic prophylaxis and risk factors for infectious complications were investigated. Infectious complications were observed in 34.9% of all patients. Factors independently associated with infectious complications were diabetes mellitus (adjusted OR, 1.99; 95% CI, 1.09-3.65, P=0.025) and operation time (adjusted OR, 1.08; 95% CI, 1.03-1.13, P=0.004). Clinicians should be aware of the high risk of infectious complications in patients with diabetes and those who undergo a prolonged operation time. Neither the type nor duration of prophylactic antibiotics resulted in differences in infectious complications.
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