A prospective multi-institutional analysis according to the "Japanese guidelines for prevention of perioperative infections in urological field"

Koichiro Wada, Shinya Uehara, Shinichiro Kira, Masahiro Matsumoto, Takehiko Sho, Yuichiro Kurimura, Jiro Hashimoto, Teruhisa Uehara, Takashi Yamane, Sojun Kanamaru, Yoshikazu Togo, Rikiya Taoka, Akira Takahashi, Yusuke Yamada, Akira Yokomizo, Mitsuru Yasuda, Kazushi Tanaka, Ryoichi Hamasuna, Satoshi Takahashi, Hiroshi Hayami & 11 others Toyohiko Watanabe, Koichi Monden, Hiroshi Kiyota, Takashi Deguchi, Seiji Naito, Taiji Tsukamoto, Soichi Arakawa, Masato Fujisawa, Shingo Yamamoto, Hiromi Kumon, Tetsuro Matsumoto

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

(Objective) The "Japanese guidelines for prevention of perioperative infections in urological field" was edited by the Japanese Urological Association in 2007. They are the first Japanese guidelines for antimicrobial prophylaxis specifically to prevent perioperative infections in the urological field. We report here the results of a multicenter prospective study conducted to examine the validity and usefulness of these guidelines. (Patients and methods) The subjects were 513 patients who had undergone urological surgeries between July and September 2008 at 10 nationwide university institutions in the Japanese Society of UTI Cooperative Study Group. These surgeries were transurethral resection of bladder (TURBT), transurethral resection of prostate (TURP), adrenalectomy, nephrectomy, nephroureterectomy, radical prostatectomy and total cystectomy. Analysis was performed on patient information, surgical procedures, types and durations of administration of prophylactic antibiotic agents, and the presence of surgical site infections (SSI) and remote infections (RI). (Results) Of 513 patients, 387 (75.4%) were administered prophylactic antibiotic agents according to the guidelines. In these patients, the incidences of SSI and RI were 5.9% and 4.1%, respectively. Multivariate analysis showed that significant factors for SSI were the surgical risk (according to the ASA physical status classification system), diabetes, and operation time, and that the only significant factor for RI was the operation time. (Conclusions) More large-scale study and evidences are necessary in order to demonstrate the validity and usefulness of these guidelines.

Original languageEnglish
Pages (from-to)505-512
Number of pages8
JournalJapanese Journal of Urology
Volume104
Issue number3
Publication statusPublished - May 2013
Externally publishedYes

Fingerprint

Surgical Wound Infection
Guidelines
Infection
Anti-Bacterial Agents
Transurethral Resection of Prostate
Cystectomy
Adrenalectomy
Prostatectomy
Nephrectomy
Multicenter Studies
Urinary Bladder
Multivariate Analysis
Prospective Studies
Incidence

Keywords

  • Perioperative infections
  • Prophylactic antibiotic agent
  • Urological surgery

ASJC Scopus subject areas

  • Urology

Cite this

A prospective multi-institutional analysis according to the "Japanese guidelines for prevention of perioperative infections in urological field". / Wada, Koichiro; Uehara, Shinya; Kira, Shinichiro; Matsumoto, Masahiro; Sho, Takehiko; Kurimura, Yuichiro; Hashimoto, Jiro; Uehara, Teruhisa; Yamane, Takashi; Kanamaru, Sojun; Togo, Yoshikazu; Taoka, Rikiya; Takahashi, Akira; Yamada, Yusuke; Yokomizo, Akira; Yasuda, Mitsuru; Tanaka, Kazushi; Hamasuna, Ryoichi; Takahashi, Satoshi; Hayami, Hiroshi; Watanabe, Toyohiko; Monden, Koichi; Kiyota, Hiroshi; Deguchi, Takashi; Naito, Seiji; Tsukamoto, Taiji; Arakawa, Soichi; Fujisawa, Masato; Yamamoto, Shingo; Kumon, Hiromi; Matsumoto, Tetsuro.

In: Japanese Journal of Urology, Vol. 104, No. 3, 05.2013, p. 505-512.

Research output: Contribution to journalArticle

Wada, K, Uehara, S, Kira, S, Matsumoto, M, Sho, T, Kurimura, Y, Hashimoto, J, Uehara, T, Yamane, T, Kanamaru, S, Togo, Y, Taoka, R, Takahashi, A, Yamada, Y, Yokomizo, A, Yasuda, M, Tanaka, K, Hamasuna, R, Takahashi, S, Hayami, H, Watanabe, T, Monden, K, Kiyota, H, Deguchi, T, Naito, S, Tsukamoto, T, Arakawa, S, Fujisawa, M, Yamamoto, S, Kumon, H & Matsumoto, T 2013, 'A prospective multi-institutional analysis according to the "Japanese guidelines for prevention of perioperative infections in urological field"', Japanese Journal of Urology, vol. 104, no. 3, pp. 505-512.
Wada, Koichiro ; Uehara, Shinya ; Kira, Shinichiro ; Matsumoto, Masahiro ; Sho, Takehiko ; Kurimura, Yuichiro ; Hashimoto, Jiro ; Uehara, Teruhisa ; Yamane, Takashi ; Kanamaru, Sojun ; Togo, Yoshikazu ; Taoka, Rikiya ; Takahashi, Akira ; Yamada, Yusuke ; Yokomizo, Akira ; Yasuda, Mitsuru ; Tanaka, Kazushi ; Hamasuna, Ryoichi ; Takahashi, Satoshi ; Hayami, Hiroshi ; Watanabe, Toyohiko ; Monden, Koichi ; Kiyota, Hiroshi ; Deguchi, Takashi ; Naito, Seiji ; Tsukamoto, Taiji ; Arakawa, Soichi ; Fujisawa, Masato ; Yamamoto, Shingo ; Kumon, Hiromi ; Matsumoto, Tetsuro. / A prospective multi-institutional analysis according to the "Japanese guidelines for prevention of perioperative infections in urological field". In: Japanese Journal of Urology. 2013 ; Vol. 104, No. 3. pp. 505-512.
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AU - Wada, Koichiro

AU - Uehara, Shinya

AU - Kira, Shinichiro

AU - Matsumoto, Masahiro

AU - Sho, Takehiko

AU - Kurimura, Yuichiro

AU - Hashimoto, Jiro

AU - Uehara, Teruhisa

AU - Yamane, Takashi

AU - Kanamaru, Sojun

AU - Togo, Yoshikazu

AU - Taoka, Rikiya

AU - Takahashi, Akira

AU - Yamada, Yusuke

AU - Yokomizo, Akira

AU - Yasuda, Mitsuru

AU - Tanaka, Kazushi

AU - Hamasuna, Ryoichi

AU - Takahashi, Satoshi

AU - Hayami, Hiroshi

AU - Watanabe, Toyohiko

AU - Monden, Koichi

AU - Kiyota, Hiroshi

AU - Deguchi, Takashi

AU - Naito, Seiji

AU - Tsukamoto, Taiji

AU - Arakawa, Soichi

AU - Fujisawa, Masato

AU - Yamamoto, Shingo

AU - Kumon, Hiromi

AU - Matsumoto, Tetsuro

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KW - Prophylactic antibiotic agent

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