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Prophylactic Antimicrobial Therapy and Antimicrobial Stewardship in Urologic Surgery

Hee Jo Yang
대한요로생식기감염학회|2023.04|Urogenital Tract Infection|제18권 제1호|pp. 8-14|DOI 10.14777/uti.2023.18.1.8

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키워드

Urinary tract infectionsAnti-bacterial agentsPostoperative complications
주제분류비뇨기과학

초록

Postoperative infectious complications are a worrying problem for surgeons. Urological surgery has a higher risk of postoperative urinary tract infection than other surgeries because of the common use of various types of catheters. Due to the recent increase in antibiotic resistance, antimicrobial stewardship recommends using appropriate antibiotics for a suitable period. It is generally advocated that prescribing antibiotics in the absence of infection is equivalent to the inappropriate use of antibiotics. Based on numerous studies reported by several academic societies, appropriate use of antibiotics before surgery has been suggested. It was confirmed that using antibiotics according to these guidelines reduces the use of antibiotics without increasing the incidence of postoperative infectious complications. Furthermore, endourological surgery reports have proved the efficacy of antibiotics given once before surgery. Differences in antibiotic resistance by region must be taken into consideration when selecting the appropriate antibiotic type.

Abstract

Postoperative infectious complications are a worrying problem for surgeons. Urological surgery has a higher risk of postoperative urinary tract infection than other surgeries because of the common use of various types of catheters. Due to the recent increase in antibiotic resistance, antimicrobial stewardship recommends using appropriate antibiotics for a suitable period. It is generally advocated that prescribing antibiotics in the absence of infection is equivalent to the inappropriate use of antibiotics. Based on numerous studies reported by several academic societies, appropriate use of antibiotics before surgery has been suggested. It was confirmed that using antibiotics according to these guidelines reduces the use of antibiotics without increasing the incidence of postoperative infectious complications. Furthermore, endourological surgery reports have proved the efficacy of antibiotics given once before surgery. Differences in antibiotic resistance by region must be taken into consideration when selecting the appropriate antibiotic type.

참고문헌 (46)

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관련 논문AI추천

Recommendations for Antibacterial Prophylaxis in Endourological Procedures정두용, Joo Yong Lee대한요로생식기감염학회 · Urogenital Tract Infection2019 · 제14권 제1호Antimicrobial Prophylaxis in Urological SurgeryHiroshi Kiyota, Japanese Research Group for UTI, Katsumi Shigemura, Shingo Yamamoto, Soichi Arakawa대한요로생식기감염학회 · Urogenital Tract Infection2016 · 제11권 제3호전립선수술에 대한 예방적 항생제요법정승일대한요로생식기감염학회 · Urogenital Tract Infection2014 · 제9권 제1호Korean Multicenter Study of Infectious Complications after Transurethral Prostate Surgery in Patients with Preoperative Sterile Urine고동훈, 김태형, 유구한, 정승일, 최재덕, Eu Chang Hwang, Hoon Choi, Jeong Woo Lee, Joongwon Choi, Sangrak Bae, Seong Hyeon Yu, Seung Ki Min, Seung Ok Yang대한요로생식기감염학회 · Urogenital Tract Infection2022 · 제17권 제3호Comparison of the Efficacy between the Single-Dose and Three-Day Prophylactic Antibiotic Regimens for the Prevention of Bacterial Infections in Patients with Percutaneous Nephrolithotomy: A Randomized Controlled StudyHan Kyu Chae, Hyung Keun Park, Jung Hyun Shin, Myong Kim대한요로생식기감염학회 · Urogenital Tract Infection2018 · 제13권 제3호경요도전립선적출술 및 절제술에 대한 예방적 항생제 사용: 1일 요법과 2일 이상 요법의 비교노준, 백승, 김민석, 김철성, 임동훈, 조원진대한요로생식기감염학회 · Urogenital Tract Infection2014 · 제9권 제2호

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