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KMID : 1234520090040010072
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Korean Journal of Urogenital Tract Infection Inflammation
2009 Volume.4 No. 1 p.72 ~ p.79
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Antibiotic Prophylaxis Practice in Urology: a Survey of 21 Korean Medical Institutions
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Koh Jae-I
Kim Young-Ho
Kim Min-Eui
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Abstract
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Purpose: To evaluate current prophylactic antibiotics usage in various urologic diagnostic and surgical procedures to utilize as basic data for a making Korean guideline of antibiotic prophylaxis in urology.
Materials and Methods: From October to November 2006, a survey of 21 medical institutions was conducted for preoperative shaving of operation site, type of commonly used antibiotics, and time and duration of administration in various diagnostic and surgical procedures
Results: The common antibiotic prophylaxis practices were administration of oral fluoroquinolone for 2∼3
days in diagnostic procedures, combination of intravenous second generation cephalosporin and aminoglycoside
for 2∼3 days in endourologic operations, and 4∼5 days in open surgeries. The prophylactic antibiotics were used 81% in cystoscopy, 95% in transrectal prostate biopsy, 43% in extracorporeal shock wave lithotripsy, 95% in transurethral resection of prostate, 93% in laparoscopic surgeries, and 95% in nephrectomy.
Conclusions: This survey showed that prophylactic antibiotics were inappropriately employed in a variety of
diagnostic and surgical procedures. Inappropriate antibiotic use increases the emergence of antimicrobial-resistent bacteria, medical costs and the risk of the adverse reactions of antibiotics. To establish the Korean guideline of antibiotic prophylaxis in urology, well-designed prospective studies should be encouraged.
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KEYWORD
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Antibiotic prophylaxis, Urologic procedures
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