Prophylactic Antibiotic Administration for Prevention of Surgical Site Infection in Urological Laparoscopic Surgeries
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概要
- 論文の詳細を見る
Background: The purpose of this study is to investigate the occurrence of surgical site infection (SSI) in our cases after laparoscopic surgery with prophylactic antibiotics administration (PAA) of 1-2 days or 3 days duration. Methods: Two hundred and nine patients were enrolled in this study. SSIs were categorized as urinary tract and/or wound infection. Laboratory data relating to infection such as serum white blood cell (WBC) and C-reactive protein (CRP) were investigated after surgeries and compared to the data before surgeries. Data were collected and analyzed retrospectively. Results: There were 4 SSI patients in total. SSI was 4/125 (3.2 %) cases of PAA of 1-2 days (shorter) duration patients and there was 0/84 (0 %) of PAA of 3 days (longer) duration. Longer group showed the tendency of lower SSI ratio even though the difference did not reach statistically significant (p=0.0978) because of small number of SSI cases and ratios. Change of serum WBC at 4th day from pre-surgery was significantly suppressed in longer group than shorter group. Conclusions: Our data showed 3-days of PAA might be better to be selected according to the cases especially such as, for instance, immune-compromised hosts. Future prospective study with more number of patients may be necessary for further evaluation.
- 神戸大学の論文
- 2011-00-00
著者
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Tanaka Kazushi
Division Of Urology Department Of Organs Therapeutics Faculty Of Medicine Kobe University Graduate S
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Fujisawa Masato
Division Of Urology Department Of Organs Therapeutics Faculty Of Medicine Kobe University Graduate S
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Nakano Yuzo
Division Of Urology Department Of Surgery Related Kobe University Graduate School Of Medicine
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Shigemura Katsumi
Division Of Urology Department Of Surgery Kobe University Graduate School Of Medicine
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Arakawa Soichi
Division Of Urology Department Of Surgery Kobe University Graduate School Of Medicine
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MATSUMOTO Minori
Division of Urology, Department of Organs Therapeutics, Faculty of Medicine, Kobe University Graduate School of Medicine
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Arakawa Soichi
Division of Urology, Department of Organs Therapeutics, Faculty of Medicine, Kobe University Graduate School of Medicine
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Yamamichi Fukashi
Division of Urology, Department of Organs Therapeutics, Faculty of Medicine, Kobe University Graduate School of Medicine
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Fujisawa Masato
Division of Urology, Department of Organs Therapeutics, Faculty of Medicine, Kobe University Graduate School of Medicine
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Nakano Yuzo
Division of Urology, Department of Organs Therapeutics, Faculty of Medicine, Kobe University Graduate School of Medicine
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TANAKA KAZUSHI
Division of Urology, Department of Organs Therapeutics, Faculty of Medicine, Kobe University Graduate School of Medicine
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