Comparison of single- and multiple-dose cefazolin as prophylaxis for transurethral enucleation of prostate: A multicenter, prospective, randomized controlled trial by the Japanese Research Group for Urinary Tract Infection

Yoshikazu Togo, Koji Fukui, Yasuo Ueda, Sojun Kanamaru, Yosuke Shimizu, Koichiro Wada, Takuya Sadahira, Yusuke Yamada, Masahiro Matsumoto, Ryoichi Hamasuna, Kiyohito Ishikawa, Manabu Takai, Yuka Maekawa, Mitsuru Yasuda, Koji Kokura, Nobuyuki Kondoh, Hidekazu Takiuchi, Shingo Yamamoto

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: To compare the optimal administration period of antimicrobial prophylaxis in patients undergoing transurethral enucleation of the prostate for benign prostatic hyperplasia. Methods: We carried out a randomized controlled trial to compare the differences in incidence of perioperative genitourinary tract infection between single and multiple (3 days) administrations of cefazolin for transurethral enucleation of the prostate in benign prostatic hyperplasia patients without pyuria or bacteriuria between January 2015 and December 2018. Results: This multicenter randomized controlled trial included 203 patients who underwent a transurethral enucleation of the prostate procedure. All received antimicrobial prophylaxis, and were randomized into those who received single-dose (n = 101) or multiple-dose (n = 102) therapy. The rate of genitourinary tract infection after transurethral enucleation of the prostate for all patients was 1.5%, whereas that in the single-dose group was 1.0% and in the multiple-dose group was 2.0%, which were not significantly different (P = 1.00). Conclusions: A single dose of antimicrobial prophylaxis as a prophylactic antibacterial drug is sufficient for patients undergoing transurethral enucleation of the prostate who do not have presurgical pyuria or bacteriuria.

Original languageEnglish
Pages (from-to)244-248
Number of pages5
JournalInternational Journal of Urology
Volume27
Issue number3
DOIs
Publication statusPublished - Mar 1 2020

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Keywords

  • antimicrobial prophylaxis
  • benign prostatic hyperplasia
  • optimal administration period
  • randomized controlled trial
  • transurethral enucleation of the prostate

ASJC Scopus subject areas

  • Urology

Cite this

Togo, Y., Fukui, K., Ueda, Y., Kanamaru, S., Shimizu, Y., Wada, K., Sadahira, T., Yamada, Y., Matsumoto, M., Hamasuna, R., Ishikawa, K., Takai, M., Maekawa, Y., Yasuda, M., Kokura, K., Kondoh, N., Takiuchi, H., & Yamamoto, S. (2020). Comparison of single- and multiple-dose cefazolin as prophylaxis for transurethral enucleation of prostate: A multicenter, prospective, randomized controlled trial by the Japanese Research Group for Urinary Tract Infection. International Journal of Urology, 27(3), 244-248. https://doi.org/10.1111/iju.14181