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Year : 1998  |  Volume : 3  |  Issue : 2  |  Page : 65-68

Bacteraemia in prostatic surgery

Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu -, Nigeria

Correspondence Address:
Aloy E Aghaji
Urology Unit, Department of Surgery, University of Nigeria Teaching Hospital, Enugu
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Source of Support: None, Conflict of Interest: None

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A three year prospective study to establish the incidence, causative organisms and their antibiotic sensitivity pattern, and predisposing factors, of bactcraemia occuring following open prostatic surgery, was undertaken in our urological unit between July 1994 and June 1997. A total of one hundred consective patients undergoing open prostatectomy were studied. Note was taken of the presence or absence of indwelling urethral catheter pre-operatively and cultures of the external urethral meatus, antecubital fossa and removed prostate were done. Blood was drawn immediately before surgery and two hours post-operatively for culture and the patient observed for features of septicaemia. The incidence of post-operative bacteraemia was 33%. E. Coli (60.1%), proteus spp (33.3%), staph aureus (3.0%) and strep faecalis (3.0%) were the offending organisms. The patterns of antibiotic sensitivity of these organisms were in favour of gentamicin, ofloxacin (tarivid), ciprofloxacin (ciproxin) and co-trimoxazole, especially for both E.Coli and proteus spp. Significant correlation was found between bacteraemia on one hand, and positive prostatic bacterial culture, pre-operative bacteriuria and pre-operative indwelling urethral catheter, on the other. None of the bacteraemias led to septicaemia. Peri-operative prophylactic antibiotic therapy is recommended especially in these high risk patients so as to prevent the potentially fatal complication of septicaemia.

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