A Study for Clarifying the Necessity of Additional Antibiotic Therapy in Patients Undergoing TURP, Given Antibiotics During Catheter-indwelling and Showing Sterile Urine after Catheter-removal.
- Author:
Jong Soung KIM
1
;
Kang Seon CHO
Author Information
1. Wonkwang University, Iri, Korea.
- Publication Type:Original Article
- Keywords:
TURP;
urethral catheter;
antibiotics
- MeSH:
Anti-Bacterial Agents*;
Bacteria;
Bacteriuria;
Burns;
Humans;
Incidence;
Pseudomonas;
Transurethral Resection of Prostate*;
Urinary Catheters
- From:Korean Journal of Urology
1987;28(6):863-868
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Faced with patients who underwent TURP and who were given antibiotics until catheter-removal, usually complain of urinary frequency or burning on ruination and showing sterile urine (less than l00 bacteria per ml., in clean-caught midstream about 24 hours after catheter-removal), we often hesitate to make a decision whether they should be given antibiotics or not. So we divided 27 such patients into three groups : group l ; 7 patients, no additional antibiotics after catheter-removal, group 2; 12 patients, antibiotics for one week after catheter-removal and we performed weekly urine culture for clarifying the necessity of additional antibiotic therapy and its appropriate duration, if necessary. The following results and conclusions were obtained. I. Group l showed bacteriuria in 86%(6 of 7 patients). 2.Group 2 and 3 showed bacteriuria 5%(1 of 20 patients). 3. These data suggested that additional antibiotic therapy rather than stopping antibiotic therapy might be justified(P : less than 0.001). 4. Group 2 showed no bacteriuria and group 3 showed bacteriuria in one patient which disappeared promptly. Namely, there was no practical difference in the incidence of bacteriuria between the two groups. 5. 9 cases of fungiuria were found, all of which developed in patients given antibiotics perioperatively for more than 2 weeks. 6. Considering the above items and cost-effectiveness, a week`s additional antibiotic therapy is probably an appropriate answer to treating the above-mentioned patients. 7. Main causative organism in post-TURP bacteriuria was Pseudomonas spp(4of 7 cases).
