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One week pre-operative oral antibiotics for percutaneous nephrolithotomy reduce risk of infection: a systematic review and meta-analysis.
Danilovic, Alexandre; Talizin, Thalita Bento; Torricelli, Fabio Cesar Miranda; Marchini, Giovanni S; Batagello, Carlos; Vicentini, Fabio C; Nahas, Willaim C; Mazzucchi, Eduardo.
Afiliación
  • Danilovic A; Departamento de Urologia, Universidade de São Paulo Hospital das Clínicas - HCUSP, São Paulo, SP, Brasil.
  • Talizin TB; Departamento de Urologia, Hospital Alemão Oswaldo Cruz, São Paulo, SP, Brasil.
  • Torricelli FCM; Departamento de Urologia, Universidade de São Paulo Hospital das Clínicas - HCUSP, São Paulo, SP, Brasil.
  • Marchini GS; Departamento de Urologia Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil.
  • Batagello C; Departamento de Urologia, Universidade de São Paulo Hospital das Clínicas - HCUSP, São Paulo, SP, Brasil.
  • Vicentini FC; Departamento de Urologia Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil.
  • Nahas WC; Departamento de Urologia, Universidade de São Paulo Hospital das Clínicas - HCUSP, São Paulo, SP, Brasil.
  • Mazzucchi E; Departamento de Urologia Faculdade de Medicina da Universidade de São Paulo - FMUSP, São Paulo, SP, Brasil.
Int Braz J Urol ; 49(2): 184-193, 2023.
Article en En | MEDLINE | ID: mdl-36515617
ABSTRACT

PURPOSE:

The aim of this meta-analysis is to assess the efficacy of extended dose of preoperative antibiotics to reduce infectious risk in patients undergoing percutaneous nephrolithotomy (PCNL). MATERIALS AND

METHODS:

A literature search for prospective case-control studies or randomized controlled trials was done. PICO framework was used. POPULATION adult patients that underwent to PCNL; Intervention extended dose preoperative antibiotic prophylaxis before PCNL; Control short dose preoperative antibiotic prophylaxis before PCNL; and

Outcome:

systemic inflammatory response syndrome (SIRS) or sepsis, fever after PCNL and positive intraoperative urine and stone culture. This meta-analysis was registered in PROSPERO database under the number CRD42022359589.

RESULTS:

Three RCT and two prospective studies (475 patients) were included. SIRS/sepsis outcome was retrieved from all studies included. Seven days preoperative oral antibiotics for PCNL was a protective factor for developing SIRS/sepsis (OR 0.366, 95% CI 0.234 - 0.527, p < 0.001). There was no statistical association between seven-day use of antibiotics and fever (OR 0.592, 95% CI 0.147 - 2.388, p = 0.462). Patients who received seven days preoperative antibiotics had lower positive intraoperative urine culture (OR 0.284, 95% CI 0.120 - 0.674, p = 0.004) and stone culture (OR 0.351, 95% CI 0.185 - 0.663, p = 0.001) than the control group.

CONCLUSION:

one week of prophylactic oral antibiotics based on local bacterial sensitivity pattern plus a dose of intravenous antibiotics at the time of surgery in patients undergoing PCNL reduces the risk of infection.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Nefrostomía Percutánea / Cálculos Renales / Sepsis / Nefrolitotomía Percutánea Tipo de estudio: Clinical_trials / Etiology_studies / Observational_studies / Risk_factors_studies / Systematic_reviews Límite: Adult / Humans Idioma: En Revista: Int Braz J Urol Asunto de la revista: UROLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Brasil

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Nefrostomía Percutánea / Cálculos Renales / Sepsis / Nefrolitotomía Percutánea Tipo de estudio: Clinical_trials / Etiology_studies / Observational_studies / Risk_factors_studies / Systematic_reviews Límite: Adult / Humans Idioma: En Revista: Int Braz J Urol Asunto de la revista: UROLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Brasil