Bacteremia from Transurethral Prostatic Resection under Prophylactic Use of Antibiotics
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- TOKUNAGA Shuji
- Department of Urology, School of Medicine, Kanazawa University
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- OHKAWA Mitsuo
- Department of Urology, School of Medicine, Kanazawa University
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- OSHINOYA Yukinosuke
- Department of Urology, School of Medicine, Kanazawa University
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- NAKASHIMA Takao
- Department of Urology, School of Medicine, Kanazawa University
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- HISAZUMI Haruo
- Department of Urology, School of Medicine, Kanazawa University
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- NISHIKAWA Tadayuki
- Department of Urology, Ishikawa Prefectural Central Hospital
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- SHIMAMURA Masayoshi
- Department of Urology, Ishikawa Prefectural Central Hospital
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- MIYAGI Tetsusaburo
- Department of Urology, Ishikawa Prefectural Central Hospital
Bibliographic Information
- Other Title
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- 抗菌剤予防投与時における経尿道的前立腺切除術後菌血症について
- 抗菌剤予防投与時における経尿道的前立腺切除術後菌血症について〔英文〕
- コウキンザイ ヨボウ トウヨジ ニ オケル ケイ ニョウドウテキ ゼンリツセン
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Abstract
We studied the incidence of the postoperative bacteremia developing in 44 patients undergoing transurethral resection of the prostate under prophylactic use of antibiotics. In 15 of the patients, postoperative endotoxinemia was also investigated. Postoperative bacteremia was found in 10 (22.7%) of the patients, in only one of whom septicemia developed. The incidence of bacteremia was not influenced by the kind of antimicrobial agent administered prophylactically, but was significantly higher in the patients with preoperative urinary tract infection or prostatitis on histological examination of resected prostatic tissue (p<0.01). Concerning species isolated from the blood, gram-positive cocci were isolated more frequently than gram-negative bacteria, and Staphylococcus epidermidis was the most common species. In 7 (70%) of the bacteremia patients an identical species was isolated from preoperative urine cultures. In the patients with bacteremia, significant increases in white blood cell count and maximal body temperature were found within 3 hours after the procedure as compared to before the procedure. To lower the postoperative bacteremic rate, appropriate and adequate antimicrobial agents must be used preoperatively in patients with infection of the genitourinary tract. As to blood endotoxin, the endotoxin levels in the patients with postoperative fever did not significantly differ from those of the patients without this complication.
Journal
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- Kansenshogaku Zasshi
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Kansenshogaku Zasshi 65 (6), 698-702, 1991
The Japanese Association for Infectious Diseases
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Details 詳細情報について
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- CRID
- 1390282680022781312
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- NII Article ID
- 40000567221
- 130004329811
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- NII Book ID
- AN00047715
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- ISSN
- 1884569X
- 03875911
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- NDL BIB ID
- 3735667
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- PubMed
- 1919100
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- Data Source
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed