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Predictive factors of infectious complications in patients undergoing prostatectomy

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dc.creatorCruz Arévalo, Alexandraspa
dc.creatorCárdenas, Ana Maríaspa
dc.creatorGómez, Jorge Eduardospa
dc.creatorReyes, Julio Césarspa
dc.creatorDuarte, Raúl Andrésspa
dc.date.accessioned2020-05-26T00:01:57Z
dc.date.available2020-05-26T00:01:57Z
dc.date.created2017spa
dc.description.abstractObjective To determine the factors associated with the development of infectious complications in patients undergoing prostatectomy for benign or malignant prostatic disease in Hospital Universitario Mayor. Materials and methods A descriptive cross-sectional study was conducted between 2012 and 2013 on 866 patients subjected to prostate surgery. Univariate and multivariate analyses were performed using logistic regression analysis of perioperative variables using the statistical analysis program Wizard for Mac. Results A total of 284 patients (32.7%) received preoperative prophylaxis, and 167 (19.3%) patients had permanent urinary catheter. There were 89 (10%) patients with Diabetes Mellitus. Complications were identified in 149 (17.2%) patients, and among these, 59 (65.5%) had a urinary infection, 21 (23.3%) patients had orchiepididymitis, and 10 (11.1%) had a surgical wound infection. In the bivariate analysis the presence of diabetes mellitus was significantly associated with the development of UTI, OR 2.04, p = 0.025. The presence of asymptomatic bacteriuria was associated with the development of vesicocutaneous fistula (p = 0.00, OR 1.91), and the occurrence of surgical wound infection (p = 0.004, OR 12.6). It was found that failure to use preoperative prophylactic antibiotics is associated with the formation of vesicocutaneous fistula (OR 0048, p = 0.04). Conclusions Diabetes mellitus patients are at increased risk of infectious complications, such as urinary tract infection or orchiepididymitis. The presence of asymptomatic bacteriuria is associated with a higher frequency of surgical wound infection. There was no relationship between patients with permanent urinary catheter use and the development of infectious complications. © 2016 Sociedad Colombiana de Urologíaeng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.uroco.2016.06.005
dc.identifier.issn0120789X
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23429
dc.language.isoengspa
dc.publisherElsevier Doymaspa
dc.relation.citationEndPage109
dc.relation.citationIssueNo. 2
dc.relation.citationStartPage104
dc.relation.citationTitleUrologia Colombiana
dc.relation.citationVolumeVol. 26
dc.relation.ispartofUrologia Colombiana, ISSN:0120789X, Vol.26, No.2 (2017); pp. 104-109spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85018178719&doi=10.1016%2fj.uroco.2016.06.005&partnerID=40&md5=3a02ef2c480fe7d180beb79a926b5a38spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordCarbapenem derivativespa
dc.subject.keywordSuprapubiceng
dc.subject.keywordRetropubiceng
dc.subject.keywordAgedspa
dc.subject.keywordAntibiotic prophylaxisspa
dc.subject.keywordArticlespa
dc.subject.keywordAsymptomatic bacteriuriaspa
dc.subject.keywordChronic kidney failurespa
dc.subject.keywordClinical outcomespa
dc.subject.keywordComorbidityspa
dc.subject.keywordCross-sectional studyspa
dc.subject.keywordDiabetic patientspa
dc.subject.keywordEpididymitisspa
dc.subject.keywordEscherichia colispa
dc.subject.keywordGroups by agespa
dc.subject.keywordHeart diseasespa
dc.subject.keywordHumanspa
dc.subject.keywordHuman immunodeficiency virus infectionspa
dc.subject.keywordInfection riskspa
dc.subject.keywordInfectious complicationspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordNeoplasmspa
dc.subject.keywordNon insulin dependent diabetes mellitusspa
dc.subject.keywordObservational studyspa
dc.subject.keywordPostoperative periodspa
dc.subject.keywordPredictive valuespa
dc.subject.keywordProstate surgeryspa
dc.subject.keywordProstatectomyspa
dc.subject.keywordSkin fistulaspa
dc.subject.keywordSurgical infectionspa
dc.subject.keywordTransurethral resectionspa
dc.subject.keywordUrinary catheterspa
dc.subject.keywordUrinary tract infectionspa
dc.subject.keywordAdenomectomyeng
dc.subject.keywordBacteriuriaspa
dc.subject.keywordInfectionspa
dc.subject.keywordProstatespa
dc.subject.keywordRadical prostatectomyspa
dc.subject.keywordTransurethral resection of prostatespa
dc.subject.keywordUrinary bladderspa
dc.titlePredictive factors of infectious complications in patients undergoing prostatectomyspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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