RESUMEN
BACKGROUND: Treatment of asymptomatic bacteriuria (ASB) is recommended in pregnant women and prior to urologic procedures with anticipated mucosal disruption. However, there is still insufficient evidence of the usefulness of treating ASB prior to urologic procedures. Therefore, the aim of this study was to ascertain the risk of infections in patients undergoing urologic surgery based on the presence of ASB. METHODS: We conducted a cohort study among patients undergoing urologic surgery at a single center located in Medellín, Colombia. All patients were screened for ASB prior to their procedures. Patients were evaluated for the development of any postoperative infectious complications for up to 30 days after the procedure. RESULTS: A total of 149 patients were included in this cohort. Incidence of ASB was 14.8%. Thirteen patients (8.72%) developed infectious complications: 3 (13.64%) with ASB and 10 (7.87%) without ABS. Factors associated with postoperative infectious complications included urologic cancers (hazard ratio [HR], 5.26; 95% confidence intervals [CI], 1.24-22.37), urologic interventions in the preceding 3 months (HR, 3.72; 95% CI, 1.02-13.51), and use of antibiotics 3 months prior to surgery (HR, 3.83; 95% CI, 1.01-15.49). Presence of ASB was not associated with postsurgical infectious complications (HR, 1.02; 95% CI, 0.26-3.96). CONCLUSIONS: There was no association between ASB and postoperative infectious complications. There were other factors associated with infectious complications, such as urologic cancer, previous history of urologic manipulation, and antibiotic use.
Asunto(s)
Bacteriuria/diagnóstico , Infecciones por Escherichia coli/diagnóstico , Complicaciones Posoperatorias/diagnóstico , Infecciones por Proteus/diagnóstico , Infecciones por Serratia/diagnóstico , Neoplasias Urológicas/complicaciones , Adulto , Anciano , Anciano de 80 o más Años , Enfermedades Asintomáticas , Bacteriuria/etiología , Bacteriuria/microbiología , Colombia , Infecciones por Escherichia coli/etiología , Infecciones por Escherichia coli/microbiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/microbiología , Modelos de Riesgos Proporcionales , Estudios Prospectivos , Infecciones por Proteus/etiología , Infecciones por Proteus/microbiología , Factores de Riesgo , Infecciones por Serratia/etiología , Infecciones por Serratia/microbiología , Neoplasias Urológicas/microbiología , Neoplasias Urológicas/patología , Neoplasias Urológicas/cirugía , Procedimientos Quirúrgicos Urológicos/efectos adversosAsunto(s)
Humanos , Preescolar , Niño , Masculino , Infecciones por Proteus/congénito , Infecciones por Proteus/etiología , Infecciones por Proteus/fisiopatología , Staphylococcus aureus/aislamiento & purificación , Staphylococcus aureus/patogenicidad , Cromosoma X/fisiopatología , Cromosoma X/ultraestructura , Agammaglobulinemia/diagnóstico , Agammaglobulinemia/embriología , Agammaglobulinemia/fisiopatología , Escherichia coli/aislamiento & purificación , Neumonía/congénito , Neumonía/etiología , Neumonía/fisiopatologíaRESUMEN
Descreve-se um caso clínico caracterizado por megaloglobo associado a leucocoria em um recém nato cujo diagnóstico final foi o de endoftalmite endógena causada por Proteus rettgeri e cuja hipótese diagnóstica inicial fora de glaucoma congênito e em seguida retinoblastoma. Os diversos diagnósticos diferenciais säo também discutidos
Asunto(s)
Recién Nacido , Humanos , Femenino , Oftalmopatías/microbiología , Lesiones Oculares/complicaciones , Complicaciones Posoperatorias , Infecciones por Proteus/etiologíaRESUMEN
Brain abscess has only recently been considered a complication of cystic fibrosis. Three patients are reported here and a fourth cited from the literature. All of our patients were young adults with advanced pulmonary disease. The bacteria involved were mouth organisms and were found in the sputum culture in only one of the patients. Resistance was present to previously given antibiotics. As patients with cystic fibrosis survive into adulthood, the risk of developing a brain abscess appears to increase.