FEATURES OF POSTOPERATIVE INFECTIOUS COMPLICATIONS IN UROLOGY
DOI:
https://doi.org/10.54890/.v5i5-6.446Abstract
The problem of postoperative infectious complications is still relevant for surgeons of various fields, representing a medical, social and economic problem on a global scale. The maximum frequency of postoperative infectious complications (up to 30%) is observed during urological operations, while in Kyrgyzstan this problem has not been studied enough. The aim of the study was to study the frequency, structure and course of postoperative infectious complications in urology.
Materials and methods. A retrospective study of 2256 urological patients was conducted, with the study of treatment outcomes, the structure and nature of postoperative infectious complications using the standard case definition developed by the CDC (Center of disease control and prevention).
Results. The frequency of postoperative infectious complications for all types of urological operations was 19.6%, and varied from 5.8 to 46.7% depending on the type of operations. In the structure of postoperative infectious complications SSI - 55%, catheter-associated urinary tract infections - 24% of cases, acute pyelonephritis - 13%, acute orchiepididymitis - 8% of cases. The occurrence of infections lengthens the hospital stay from 3.4 bed-days for varicocele surgery to 10.1 bed-days for prostate surgery. The data obtained indicate the need for further study of the problem of the development of infectious complications in urology and the development of measures for their prediction and prevention.
Keywords:
postoperative infectious complications, surgical site infections, healthcare- associated infections, urinary tract infections, urology.References
1. Marschang S., Bernardo G. Prevention and control of healthcare associated infection in Europe: a review of patients’ perspectives and existing differences. J Hosp Infect. 2015, 89 (4):357–62. DOI: 10.1016/j. jhin.2015.01.017
2. Hogberg L.D, Weist K., Suetens C., Griskeviciene J. ECDC publishes a directory of online resources for prevention and control of antimicrobial resistance and healthcare-associated infections. Euro Surveill. 2014, 19(26), pii. 20847.
3. Брусина Е.Б., Ковалишена О.В., Цигельник А.М. Инфекции, связанные с оказанием медицинской помощи в хирургии: тенденции и перспективы профилактики. Эпидемиология и вакцинопрофилактика. 2017;16(4):73-80. [Brusina EB, Kovalishena OV, Tsigelnik AM. HealthcareAssociated Infections: Trends and Prevention Prospectives. Epidemiology and Vaccinal Prevention.2017;16(4):73-80 (in Russian)]
4. Naber K.G., Bergman B., Bishop M.C., Bjerklund-Johansen T.E., Botto H., Lobel B., et al. EAU guidelines for the management of urinary and male genital tract infections. Urinary Tract Infection (UTI) Working Group of the Health Care Office (HCO) of the European Association of Urology (EAU). European Urology. 2001;40 (5):576–88.
4. Акилов Ф.А. Мухтаров Ш.Т., Гиясов Ш.И., Мирхамидов Д. Х., Насиров Ф.Р., Муратова Н.Б. Послеоперационные инфекционно-воспалительные осложнения эндоскопических операций по поводу уролитиаза. Урология. 2013;1:89–91. [Akilov Ph.A., Mukhtarov Sh.T., Giyasov Sh.I., Mirhamidov D.H, Nasirov F.R., Muratova N.B. Postoperative infectious and inflammatory complications of endoscopic operations for urolithiasis. Urology. 2013; 1: 89–91.(in Russian)]
5. Бережной А. Г., Винник Ю.С., Ершов А.В. Ретроспективное исследование инфекционных осложнений у пациентов с мочекаменной болезнью в послеоперационном периоде. Московский хирургический журнал. 2018;4(62):45-50. [Berezhnoy A.G., Vinnik Y.U., Ershov A.V. Retrospective research of infectious complications at patients with the urolithiasis in the postoperative period. Moscow surgical journal. 2018; 4 (62): 45-50. (in Russian)] DOI: 10.17238/issn2072-3180.2018.4.45-50
6. Борисов В.В. Диагностика и терапия инфекций мочевыводящих путей. о чем следует помнить всегда. Урологические ведомости. 2017;7(4): 60-66. [Borisov V.V. Diagnosis and therapy of urinary infections. What should always remember. Urology reports.2017;7(4):60-66. (in Russian)] DOI: 10.17816/uroved7460-66
7. Иманкулова А.С. Оптимизация профилактики инфекций области хирургического вмешательства в абдоминальной хирургии с учетом факторов, ассоциированных с риском их возникновения: автореф. дисс….к-та мед.наук. Бишкек. КРСУ;2011:19. [Imankulova A.S. Optimization of the prevention of surgical site infections in abdominal surgery, taking into account the factors associated with the risk of their occurrence: avtoref. of dissert. Bishkek. KRSU. 2018;5-6:12-18. (in Russian)] https://dlib.rsl.ru/01004853809
8. Center for disease control and prevention https://www.cdc.gov/winnablebattles/report/HAIs.html
9. Усупбаев А.Ч., Кабаев Б.А., Усупбаева А.А., Иманкулова А.С., Садырбеков Н.Ж. Периоперационная антибиотикопрофилактика в урологической практике. Вестник КГМА им.И.К.Ахунбаева. 2018;5-6:12-18.[Usupbaev A.Ch., Kabaev B.A., Usupbaeva A.A., Imankulova A.S., Sadyrbekov N.Zh. Perioperative antibioticoprophylaxis in urological practice. Bulletin of KSMA named after I.K. Akhunbaev. 2018;5-6:12-18. (in Russian)]
10. Marschang S., Bernardo G. Prevention and control of healthcare associated infection in Europe: a review of patients’ perspectives and existing differences. J Hosp Infect. 2015;(89):357–62. DOI: 10.1016/j. jhin.2015.01.017.
Downloads
Published
How to Cite
Issue
Section
