A questionnaire survey of antimicrobial prophylaxis to prevent perioperative infection in urological field in Japan

Yoshikazu Togo, Rikiya Taoka, Shingo Yamamoto, Yoshiki Hiyama, Teruhisa Uehara, Jiroh Hashimoto, Yuichiro Kurimura, Satoshi Takahashi, Taiji Tsukamoto, Jun Miyazaki, Hiroyuki Nishiyama, Hiroshi Kiyota, Satoshi Yazawa, Mototsugu Oya, Mitsuru Yasuda, Takashi Deguchi, Kiyohito Ishikawa, Kiyotaka Hoshinaga, Minori Matsumoto, Katsumi ShigemuraKazushi Tanaka, Soichi Arakawa, Masato Fujisawa, Koichiro Wada, Shinya Uehara, Toyohiko Watanabe, Hiromi Kumon, Kanao Kobayashi, Akio Matsubara, Masahiro Matsumoto, Takehiko Sho, Ryoichi Hamasuna, Tetsuro Matsumoto, Hiroshi Hayami, Takashi Yamane, Masayuki Nakagawa

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

(Purpose): To survey the present condition of administration method of the antimicrobial prophylactic (AMP) agents for the perioperative infection in Japan on revising "The Japanese guidelines for prevention of perioperative infections in urologic field (2006)". (Patients and methods): With the approval of the Japanese Urological Association (JUA) in 2011, all of the principal urological training institutions certified by JUA (n = 836) were encouraged to participate to survey their adherence to the JUA guidelines (published in 2006) for AMP to prevent perioperative infection in urological field, and 446 (53.3%) institutions responded to the questionnaire. (Results): The rates of following the JUA guidelines of, "completely", "mainly", "not too much", and "not at all" were 6.5%, 69.7%, 22.0% and 1.6%, respectively. The guidelines were followed for open clean operations in 48.5%, open clean-contaminated operations in 66.4%, open contaminated operations in 61.8%, laparoscopic clean operations in 54.1%, laparoscopic clean-contaminated operations in 61.2%, transurethral resection of bladder tumor in 71.5%, transurethral resection of prostate in 68.9%, ureteroscopy and transurethral ureterolithotomy in 68.2%, prostate biopsy in 43.2%, and cystoscopy were in 42.2%, respectively. However, in terms of duration of AMP administration, the longer duration than those recommended by the guidelines were observed for clean surgery, transurethral resection of bladder tumor, ureteroscopy and transurethral ureterolithotomy, prostate biopsy, and cystoscopy. (Conclusions): In terms of kinds of AMP, the guidelines were almostly followed in all operative procedures. However, the duration of AMP administration were longer than those recommended by the guidelines. On revision of "Japanese guidelines for prevention of perioperative infections in urologie field (2006)", these data would be taken into consideration to avoid dissociation between the guidelines and the practical side in the urologists.

Original languageEnglish
Pages (from-to)579-588
Number of pages10
JournalJapanese Journal of Urology
Volume104
Issue number4
DOIs
Publication statusPublished - Jul 2013

Keywords

  • Antimicrobial prophylaxis
  • Perioperative infection
  • Questionnaire survey

ASJC Scopus subject areas

  • Urology

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  • Cite this

    Togo, Y., Taoka, R., Yamamoto, S., Hiyama, Y., Uehara, T., Hashimoto, J., Kurimura, Y., Takahashi, S., Tsukamoto, T., Miyazaki, J., Nishiyama, H., Kiyota, H., Yazawa, S., Oya, M., Yasuda, M., Deguchi, T., Ishikawa, K., Hoshinaga, K., Matsumoto, M., ... Nakagawa, M. (2013). A questionnaire survey of antimicrobial prophylaxis to prevent perioperative infection in urological field in Japan. Japanese Journal of Urology, 104(4), 579-588. https://doi.org/10.5980/jpnjurol.104.579