「泌尿器科領域における周術期感染予防ガイドライン」に関する多施設共同研究

Translated title of the contribution: A PROSPECTIVE MULTI-INSTITUTIONAL ANALYSIS ACCORDING TO THE "JAPANESE GUIDELINES FOR PREVENTION OF PERIOPERATIVE INFECTIONS IN UROLOGIAL FIELD"

Kouichirou Wada, 上原 慎也, 吉良 慎一郎, 松本 正広, 庄 武彦, 栗村 雄一郎, 橋本 次朗, 上原 央久, 山根 隆史, 金丸 聰淳, 東郷 容和, 田岡 利宜也, 高橋 彰, 山田 祐介, 横溝 晃, 安田 満, 田中 一志, 濱砂 良一, 高橋 聡, 速見 浩士Toyohiko Watanabe, 門田 晃一, 清田 浩, 出口 隆, 内藤 誠二, 塚本 泰司, 荒川 創一, 藤澤 正人, 山本 新吾, 公文 裕巳, 松本 哲朗

Research output: Contribution to journalArticle

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 languageJapanese
Pages (from-to)505-512
Number of pages8
JournalJapanese Journal of Urology
Volume104
Issue number3
DOIs
Publication statusPublished - May 20 2013

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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

  • urological surgery
  • prophylactic antibiotic agent
  • perioperative infections

Cite this

Wada, K., 上原慎也, 吉良慎一郎, 松本正広, 庄武彦, 栗村雄一郎, ... 松本哲朗 (2013). 「泌尿器科領域における周術期感染予防ガイドライン」に関する多施設共同研究. Japanese Journal of Urology, 104(3), 505-512. https://doi.org/10.5980/jpnjurol.104.505

「泌尿器科領域における周術期感染予防ガイドライン」に関する多施設共同研究. / Wada, Kouichirou; 上原慎也; 吉良慎一郎; 松本正広; 庄武彦; 栗村雄一郎; 橋本次朗; 上原央久; 山根隆史; 金丸聰淳; 東郷容和; 田岡利宜也; 高橋彰; 山田祐介; 横溝晃; 安田満; 田中一志; 濱砂良一; 高橋聡; 速見浩士; Watanabe, Toyohiko; 門田晃一; 清田浩; 出口隆; 内藤誠二; 塚本泰司; 荒川創一; 藤澤正人; 山本新吾; 公文裕巳; 松本哲朗.

In: Japanese Journal of Urology, Vol. 104, No. 3, 20.05.2013, p. 505-512.

Research output: Contribution to journalArticle

Wada, K, 上原慎也, 吉良慎一郎, 松本正広, 庄武彦, 栗村雄一郎, 橋本次朗, 上原央久, 山根隆史, 金丸聰淳, 東郷容和, 田岡利宜也, 高橋彰, 山田祐介, 横溝晃, 安田満, 田中一志, 濱砂良一, 高橋聡, 速見浩士, Watanabe, T, 門田晃一, 清田浩, 出口隆, 内藤誠二, 塚本泰司, 荒川創一, 藤澤正人, 山本新吾, 公文裕巳 & 松本哲朗 2013, '「泌尿器科領域における周術期感染予防ガイドライン」に関する多施設共同研究', Japanese Journal of Urology, vol. 104, no. 3, pp. 505-512. https://doi.org/10.5980/jpnjurol.104.505
Wada K, 上原慎也, 吉良慎一郎, 松本正広, 庄武彦, 栗村雄一郎 et al. 「泌尿器科領域における周術期感染予防ガイドライン」に関する多施設共同研究. Japanese Journal of Urology. 2013 May 20;104(3):505-512. https://doi.org/10.5980/jpnjurol.104.505
Wada, Kouichirou ; 上原慎也 ; 吉良慎一郎 ; 松本正広 ; 庄武彦 ; 栗村雄一郎 ; 橋本次朗 ; 上原央久 ; 山根隆史 ; 金丸聰淳 ; 東郷容和 ; 田岡利宜也 ; 高橋彰 ; 山田祐介 ; 横溝晃 ; 安田満 ; 田中一志 ; 濱砂良一 ; 高橋聡 ; 速見浩士 ; Watanabe, Toyohiko ; 門田晃一 ; 清田浩 ; 出口隆 ; 内藤誠二 ; 塚本泰司 ; 荒川創一 ; 藤澤正人 ; 山本新吾 ; 公文裕巳 ; 松本哲朗. / 「泌尿器科領域における周術期感染予防ガイドライン」に関する多施設共同研究. In: Japanese Journal of Urology. 2013 ; Vol. 104, No. 3. pp. 505-512.
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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.",
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AU - Wada, Kouichirou

AU - 上原, 慎也

AU - 吉良, 慎一郎

AU - 松本, 正広

AU - 庄, 武彦

AU - 栗村, 雄一郎

AU - 橋本, 次朗

AU - 上原, 央久

AU - 山根, 隆史

AU - 金丸, 聰淳

AU - 東郷, 容和

AU - 田岡, 利宜也

AU - 高橋, 彰

AU - 山田, 祐介

AU - 横溝, 晃

AU - 安田, 満

AU - 田中, 一志

AU - 濱砂, 良一

AU - 高橋, 聡

AU - 速見, 浩士

AU - Watanabe, Toyohiko

AU - 門田, 晃一

AU - 清田, 浩

AU - 出口, 隆

AU - 内藤, 誠二

AU - 塚本, 泰司

AU - 荒川, 創一

AU - 藤澤, 正人

AU - 山本, 新吾

AU - 公文, 裕巳

AU - 松本, 哲朗

PY - 2013/5/20

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AB - (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.

KW - 泌尿器科手術

KW - 予防的抗菌薬

KW - 周術期感染症

KW - urological surgery

KW - prophylactic antibiotic agent

KW - perioperative infections

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DO - 10.5980/jpnjurol.104.505

M3 - Article

VL - 104

SP - 505

EP - 512

JO - Japanese Journal of Urology

JF - Japanese Journal of Urology

SN - 0021-5287

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