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Transurethral resection of the prostate : Are we following the guidelines? - Outcomes from the Global Prevalence of Infections in Urology (GPIU) study

Köves, Bela LU ; Tenke, Peter; Tandogdu, Zafer; Cai, Tommaso; Bogenhard, Florian; Wullt, Björn LU ; Naber, Kurt; Bartoletti, Riccardo; Cek, Mete and Kulchavenya, Ekaterina, et al. (2018) In Journal of Chemotherapy
Abstract

Transurethral resection of the prostate (TURP) is one of the most common urological procedures. With the increasing rate of multiresistant infections including urosepsis, it is essential for all surgeons to adhere to the relevant international guidelines to prevent infectious complications. The aim of this prospective, multinational, multicentre study was to evaluate compliance with recommended infection control measures regarding TURP procedures. The study was performed as a side questionnaire to the annual Global Prevalence Study of Infections in Urology (GPIU) between 2006 and 2009. Patients that had undergone TURP were eligible. Baseline data about hospitals and patients were collected. The questionnaire contained questions... (More)

Transurethral resection of the prostate (TURP) is one of the most common urological procedures. With the increasing rate of multiresistant infections including urosepsis, it is essential for all surgeons to adhere to the relevant international guidelines to prevent infectious complications. The aim of this prospective, multinational, multicentre study was to evaluate compliance with recommended infection control measures regarding TURP procedures. The study was performed as a side questionnaire to the annual Global Prevalence Study of Infections in Urology (GPIU) between 2006 and 2009. Patients that had undergone TURP were eligible. Baseline data about hospitals and patients were collected. The questionnaire contained questions regarding preoperative microbiological investigations, catheter care and performance of perioperative antibiotic prophylaxis. A total of 825 men were included from 138 participating centres from Africa, Asia, Europe and South America. Only 50.1% of the patients received perioperative antibiotic prophylaxis with a median duration of 3 days (interquartile range [IQR] = 1–7 days). Preoperative urine culture was taken in 59.2%. The catheter was replaced in 1 week prior to the surgery only in 38.3% of cases. Compliance with the recommended infection control measures regarding TURP were only moderate, despite high grade recommendations in relevant international Guidelines. Stronger guideline adherence is necessary to improve patient care decrease antibiotic consumption in line with antibiotic stewardship in surgical practices.

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antibiotic stewardship, GPIU, guidelines, TURP, urinary tract infection
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Journal of Chemotherapy
publisher
Italian Society of Chemotherapy
external identifiers
  • scopus:85058089123
ISSN
1120-009X
DOI
10.1080/1120009X.2018.1542552
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English
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yes
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f1fa0df5-5342-4b83-bdd1-fd3d39feabb6
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2019-01-08 15:16:39
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2019-02-20 11:42:14
@article{f1fa0df5-5342-4b83-bdd1-fd3d39feabb6,
  abstract     = {<p>Transurethral resection of the prostate (TURP) is one of the most common urological procedures. With the increasing rate of multiresistant infections including urosepsis, it is essential for all surgeons to adhere to the relevant international guidelines to prevent infectious complications. The aim of this prospective, multinational, multicentre study was to evaluate compliance with recommended infection control measures regarding TURP procedures. The study was performed as a side questionnaire to the annual Global Prevalence Study of Infections in Urology (GPIU) between 2006 and 2009. Patients that had undergone TURP were eligible. Baseline data about hospitals and patients were collected. The questionnaire contained questions regarding preoperative microbiological investigations, catheter care and performance of perioperative antibiotic prophylaxis. A total of 825 men were included from 138 participating centres from Africa, Asia, Europe and South America. Only 50.1% of the patients received perioperative antibiotic prophylaxis with a median duration of 3 days (interquartile range [IQR] = 1–7 days). Preoperative urine culture was taken in 59.2%. The catheter was replaced in 1 week prior to the surgery only in 38.3% of cases. Compliance with the recommended infection control measures regarding TURP were only moderate, despite high grade recommendations in relevant international Guidelines. Stronger guideline adherence is necessary to improve patient care decrease antibiotic consumption in line with antibiotic stewardship in surgical practices.</p>},
  author       = {Köves, Bela and Tenke, Peter and Tandogdu, Zafer and Cai, Tommaso and Bogenhard, Florian and Wullt, Björn and Naber, Kurt and Bartoletti, Riccardo and Cek, Mete and Kulchavenya, Ekaterina and Perepanova, Tamara and Pilatz, Adrian and Bonkat, Gernot and Erik Bjerklund Johansen, Truls and Wagenlehner, Florian},
  issn         = {1120-009X},
  keyword      = {antibiotic stewardship,GPIU,guidelines,TURP,urinary tract infection},
  language     = {eng},
  publisher    = {Italian Society of Chemotherapy},
  series       = {Journal of Chemotherapy},
  title        = {Transurethral resection of the prostate : Are we following the guidelines? - Outcomes from the Global Prevalence of Infections in Urology (GPIU) study},
  url          = {http://dx.doi.org/10.1080/1120009X.2018.1542552},
  year         = {2018},
}