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World Journal of Urology

, Volume 37, Issue 12, pp 2715–2719 | Cite as

The risk factors of urinary tract infection after transurethral resection of bladder tumors

  • Yuki KohadaEmail author
  • Akihiro Goriki
  • Kazuma Yukihiro
  • Shinya Ohara
  • Mitsuru Kajiwara
Original Article
  • 106 Downloads

Abstract

Purpose

Few studies mention the necessity of antimicrobial prophylaxis (AMP) for transurethral resection of bladder tumor (TURBT) and the risk factors for postoperative urinary tract infections (UTIs) after TURBT. To evaluate the necessity of AMP and to detect the risk of UTIs, we examined the perioperative clinical factors.

Methods

687 patients who underwent TURBT between 2006 and 2017 at Hiroshima Prefectural Hospital were examined retrospectively. We defined the postoperative UTIs as febrile UTIs (≥ 38 °C). The AMP for the TURBT that we used was mostly cephalosporin generation 1. The association between the perioperative clinical/pathological factors and postoperative UTIs was assessed by logistic regression retrospectively.

Results

21 patients (3.1%) suffered from postoperative UTIs, and almost all of them were successfully treated with the immediate administration of antibiotics. Univariate analysis showed that past pelvic radiotherapy (p = 0.024, odds ratio (OR) 6.00), tumor size (≥ 2cm) (p = 0.008, OR 3.38), age (≥ 75 years) (p = 0.036, OR 2.65), preoperative hospital stay (≥ 5 days) (p = 0.017, OR 3.76), asymptomatic pyuria (p = 0.038, OR 2.54) and bacteriuria (p = 0.044, OR 2.97) were all associated with postoperative UTIs.

Conclusions

We demonstrated that AMP was effective for patients who underwent TURBT, and history of pelvic radiotherapy, high age, preoperative hospital stay and a certain tumor size were the risk factors as well as pyuria and bacteriuria of postoperative UTIs.

Keywords

Transurethral resection of bladder tumors Urinary tract infections Antimicrobial prophylaxis Surgical site infection 

Abbreviations

TURBT

Transurethral resection of bladder tumors

AMP

Antimicrobial prophylaxis

UTIs

Urinary tract infections

Notes

Author contributions

YK: protocol/project development, data management, data analysis, and manuscript writing. AG: manuscript editing. KY: data collection. SO: manuscript editing. MK: protocol/project development.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

For this type of study formal consent is not required. This article does not contain any studies with animals performed by any of the authors.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of UrologyHiroshima Prefectural HospitalHiroshimaJapan

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