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Basel大学妇产科医院前瞻性统计1978～1979年1,384例较大妇科手术,发现围手术期发病率上升.尿路感染占手术病人的21%,其中3/4病例与术后持久导尿和/或耻骨上膀胱引流有关.48%病例术后持久导尿1天以上,术后尿路感染危险性因尿管留置时间增加而上升.持久导尿5天以上者发生尿路感染为79%,耻骨上膀胱引流则为4%.本文研究目的是,当取出持久尿管时单剂应用抗菌药物,能否使尿路感染发生率下降.此外,希望能减少副作用如耐药性、过敏性,并减少治疗费用.资料和方法:本文30例(阴道式子宫切除及阴道修补术28例,腹式子宫切除及附件切除术1例,腹式宫颈残端癌扩大切除术1例)术后5天内皆用密闭式持久导尿.病人入院时(中间尿)、取出持久尿管时(导尿)以及拔管后3天(中间尿)均作细菌培养并镜检沉淀物.全部病例在取出持久尿管
The prospective statistics of the Basel University Obstetrics and Gynecology Hospital from 1,384 cases of gynecological surgery between 1978 and 1979 showed that perioperative morbidity increased, and urinary tract infections accounted for 21% of the patients undergoing surgery. Among them, 3/4 patients had persistent catheterization and / Or suprapubic bladder drainage .48% of cases of persistent catheterization for more than 1 day postoperative urinary tract infection risk increased due to increased catheterization time urinary catheter lasting more than 5 days urinary tract infection was 79% , While the suprapubic bladder drainage was 4% .The purpose of this study was to determine whether a single-dose antimicrobial treatment could reduce the incidence of urinary tract infection when a long-term catheter was removed and, in addition, to reduce side effects such as drug resistance and allergy , And reduce the cost of treatment.Materials and Methods: This article 30 cases (vaginal hysterectomy and vaginal repair in 28 cases, abdominal hysterectomy and attachment resection in 1 case, abdominal cervical stump cancer expansion resection in 1 case) 5 days are closed with durable catheterization patients were admitted to the hospital (urine), remove the catheter (catheterization) and 3 days after extubation (intermediate urine) were used for bacterial culture and microscopic examination of sediment in all cases Remove the permanent catheter