Bacteraemia in prostatic surgery

A three year prospective study to establish the incidence, causative organisms and their antibiotic sensitivity pattern, and predisposing factors, of bactcraemia occuring following open prostatic surgery, was undertaken in our urological unit between July 1994 and June 1997. A total of one hundred c...

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Main Authors: Aloy E Aghaji, Cosnias Ihezie
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 1998-01-01
Series:International Journal of Medicine and Health Development
Subjects:
Online Access:http://www.ijmhdev.com/article.asp?issn=2635-3695;year=1998;volume=3;issue=2;spage=65;epage=68;aulast=Aghaji;type=0
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author Aloy E Aghaji
Cosnias Ihezie
author_facet Aloy E Aghaji
Cosnias Ihezie
author_sort Aloy E Aghaji
collection DOAJ
description A three year prospective study to establish the incidence, causative organisms and their antibiotic sensitivity pattern, and predisposing factors, of bactcraemia occuring following open prostatic surgery, was undertaken in our urological unit between July 1994 and June 1997. A total of one hundred consective patients undergoing open prostatectomy were studied. Note was taken of the presence or absence of indwelling urethral catheter pre-operatively and cultures of the external urethral meatus, antecubital fossa and removed prostate were done. Blood was drawn immediately before surgery and two hours post-operatively for culture and the patient observed for features of septicaemia. The incidence of post-operative bacteraemia was 33%. E. Coli (60.1%), proteus spp (33.3%), staph aureus (3.0%) and strep faecalis (3.0%) were the offending organisms. The patterns of antibiotic sensitivity of these organisms were in favour of gentamicin, ofloxacin (tarivid), ciprofloxacin (ciproxin) and co-trimoxazole, especially for both E.Coli and proteus spp. Significant correlation was found between bacteraemia on one hand, and positive prostatic bacterial culture, pre-operative bacteriuria and pre-operative indwelling urethral catheter, on the other. None of the bacteraemias led to septicaemia. Peri-operative prophylactic antibiotic therapy is recommended especially in these high risk patients so as to prevent the potentially fatal complication of septicaemia.
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spelling doaj.art-1ca5a6d2550c468293a3008a1aa66cb32022-12-22T02:49:59ZengWolters Kluwer Medknow PublicationsInternational Journal of Medicine and Health Development2635-36951998-01-01326568Bacteraemia in prostatic surgeryAloy E AghajiCosnias IhezieA three year prospective study to establish the incidence, causative organisms and their antibiotic sensitivity pattern, and predisposing factors, of bactcraemia occuring following open prostatic surgery, was undertaken in our urological unit between July 1994 and June 1997. A total of one hundred consective patients undergoing open prostatectomy were studied. Note was taken of the presence or absence of indwelling urethral catheter pre-operatively and cultures of the external urethral meatus, antecubital fossa and removed prostate were done. Blood was drawn immediately before surgery and two hours post-operatively for culture and the patient observed for features of septicaemia. The incidence of post-operative bacteraemia was 33%. E. Coli (60.1%), proteus spp (33.3%), staph aureus (3.0%) and strep faecalis (3.0%) were the offending organisms. The patterns of antibiotic sensitivity of these organisms were in favour of gentamicin, ofloxacin (tarivid), ciprofloxacin (ciproxin) and co-trimoxazole, especially for both E.Coli and proteus spp. Significant correlation was found between bacteraemia on one hand, and positive prostatic bacterial culture, pre-operative bacteriuria and pre-operative indwelling urethral catheter, on the other. None of the bacteraemias led to septicaemia. Peri-operative prophylactic antibiotic therapy is recommended especially in these high risk patients so as to prevent the potentially fatal complication of septicaemia.http://www.ijmhdev.com/article.asp?issn=2635-3695;year=1998;volume=3;issue=2;spage=65;epage=68;aulast=Aghaji;type=0bacteraemiaopen prostatic surgery
spellingShingle Aloy E Aghaji
Cosnias Ihezie
Bacteraemia in prostatic surgery
International Journal of Medicine and Health Development
bacteraemia
open prostatic surgery
title Bacteraemia in prostatic surgery
title_full Bacteraemia in prostatic surgery
title_fullStr Bacteraemia in prostatic surgery
title_full_unstemmed Bacteraemia in prostatic surgery
title_short Bacteraemia in prostatic surgery
title_sort bacteraemia in prostatic surgery
topic bacteraemia
open prostatic surgery
url http://www.ijmhdev.com/article.asp?issn=2635-3695;year=1998;volume=3;issue=2;spage=65;epage=68;aulast=Aghaji;type=0
work_keys_str_mv AT aloyeaghaji bacteraemiainprostaticsurgery
AT cosniasihezie bacteraemiainprostaticsurgery