PMID: 18711964Aug 21, 2008Paper

Risk factors for postsurgical uroinfection in gynecology

Ceská gynekologie
I CadkováI Huvar

Abstract

This study eims to evaluate risk factors for postsurgical uroinfection (UTI) in gynecology. Clinical retrospective trial. Obstetrics and Gynecology Department, Merciful Brothers Hospital, Brno. All of 290 women who underwent hysterectomy and/or anterior vaginal repair (with or without anti-incontinence operation) in our hospital during the year 2005 were studied. The following data were noted: age, weight, anamnestic UTI, diabetes, other serious morbidity, moving disorders, estrogene deficiency, the type of surgery, the type of catheter and the duration of its indweling, intra/postoperative complications, urologic symptoms and urine analysis including bacteriology on the 6th postoperative day. There were excluded cases with antibiotic therapy (due to non-urological indications) from the study. The risk factors were assessed on the rest of 262 women, in two subgroups according to the catheter type (Foley/minicatheter), as there were remarcable differences in the indwelling time and other characteristics. "Mini-catheter" (a thin transurethral catheter) enables spontaneous voiding as well as measuring the postmiction residuum. It was used in case of anterior vaginal repair or Burch operation and extracted as soon as the voiding fu...Continue Reading

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