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KMID : 0191120140290091271
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Journal of Korean Medical Science
2014 Volume.29 No. 9 p.1271 ~ p.1277
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A Prospective Korean Multicenter Study for Infectious Complications in Patients Undergoing Prostate Surgery: Risk Factors and Efficacy of Antibiotic Prophylaxis
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Hwang Eu-Chang
Jung Seung-Il
Kwon Dong-Deuk
Lee Gil-Ho
Bae Jae-Hyun
Na Yong-Gil
Min Seung-Ki
Son Hwan-Cheol
Lee Sun-Ju
Chung Jae-Min
Chung Hong
Cho In-Rae
Kim Young-Ho
Kim Tae-Hyoung
Chang In-Ho
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Abstract
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This 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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KEYWORD
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Urinary Tract Infections, Transurethral Resection of Prostate, Risk Factors
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