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Factores predictores de complicaciones infecciosas en pacientes sometidos a prostatectomía

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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=.025. The presence of asymptomatic bacteriuria was associated with the development of vesicocutaneous fistula (P=.00, OR 1.91), and the occurrence of surgical wound infection (P=.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=.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.2016.06.003
dc.identifier.issn0120789X
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23430
dc.language.isoengspa
dc.publisherElsevier Doymaspa
dc.relation.citationEndPage86
dc.relation.citationIssueNo. 2
dc.relation.citationStartPage81
dc.relation.citationTitleUrologia Colombiana
dc.relation.citationVolumeVol. 26
dc.relation.ispartofUrologia Colombiana, ISSN:0120789X, Vol.26, No.2 (2017); pp. 81-86spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84995686723&doi=10.1016%2fj.uroco.2016.06.003&partnerID=40&md5=23da99bb9e1ad50ab791282611b6e18bspa
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.keywordAntibiotic agentspa
dc.subject.keywordAntibiotic prophylaxisspa
dc.subject.keywordArticlespa
dc.subject.keywordAsymptomatic bacteriuriaspa
dc.subject.keywordBladder catheterizationspa
dc.subject.keywordCross-sectional studyspa
dc.subject.keywordDescriptive researchspa
dc.subject.keywordDiabetes mellitusspa
dc.subject.keywordDiabetic patientspa
dc.subject.keywordEpididymitisspa
dc.subject.keywordHumanspa
dc.subject.keywordInfection riskspa
dc.subject.keywordInfectious complicationspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordOrchitisspa
dc.subject.keywordPredictionspa
dc.subject.keywordPreoperative treatmentspa
dc.subject.keywordProstate cancerspa
dc.subject.keywordProstate hypertrophyspa
dc.subject.keywordProstatectomyspa
dc.subject.keywordSkin fistulaspa
dc.subject.keywordSurgical infectionspa
dc.subject.keywordUrinary catheterspa
dc.subject.keywordUrinary tract fistulaspa
dc.subject.keywordUrinary tract infectionspa
dc.subject.keywordVesicocutaneous fistulaspa
dc.subject.keywordAdenomectomy (suprapubiceng
dc.subject.keywordBacteriuriaspa
dc.subject.keywordInfectionspa
dc.subject.keywordProstatespa
dc.subject.keywordRadical prostatectomyspa
dc.subject.keywordTransurethral resection of prostatespa
dc.subject.keywordUrinary bladderspa
dc.titleFactores predictores de complicaciones infecciosas en pacientes sometidos a prostatectomíaspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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