The use of antibiotic prophylaxis in patients undergoing urologic procedures in an academic hospital Surabaya: A retrospective study
Introduction: Prophylactic antibiotics in urological procedures are essential to prevent postoperative infections. A different approach in selecting antibiotic prophylaxis according to the type of procedure is needed. Methodology: A retrospective study was carried out at an academic hospital in S...
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The Journal of Infection in Developing Countries
2023-06-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/17180 |
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| author | Tri Pudy Asmarawati Tarmono Djojodimedjo Dimas Panca Andhika Musofa Rusli Mariyatul Qibtiyah Bagus Aulia Mahdi Dwiki Novendrianto Okla Sekar Martani Hari Paraton Heiman Wertheim Kuntaman Kuntaman |
| author_facet | Tri Pudy Asmarawati Tarmono Djojodimedjo Dimas Panca Andhika Musofa Rusli Mariyatul Qibtiyah Bagus Aulia Mahdi Dwiki Novendrianto Okla Sekar Martani Hari Paraton Heiman Wertheim Kuntaman Kuntaman |
| author_sort | Tri Pudy Asmarawati |
| collection | DOAJ |
| description |
Introduction: Prophylactic antibiotics in urological procedures are essential to prevent postoperative infections. A different approach in selecting antibiotic prophylaxis according to the type of procedure is needed.
Methodology: A retrospective study was carried out at an academic hospital in Surabaya, Indonesia, by collecting medical records of patients who underwent urologic procedures within 2019- 2020, including microbiological data.
Result: One hundred seventy-nine urological procedures were assessed. Antibiotic prophylaxis was administered in the clean-contaminated and clean procedures (93.2% and 6.8%, respectively). Ceftriaxone was commonly used (69.3%), single-dose, one day before the surgery. Gram-negative bacteria were widely found in the urinary culture of patients (75.2%). E. coli, K. pneumoniae, and P. aeruginosa were dominating with low susceptibility to cephalosporins. ESBL-producing bacteria were E. coli (64%) and K. pneumoniae (89%).
Conclusions: The 3rd generation cephalosporins (ceftriaxone) are mostly used in urological procedures despite the low susceptibility against this antibiotic in cultured E coli, P. aeruginosa, and K. pneumonia. The aminoglycosides have relatively good activity and have been suggested in several guidelines for urologic procedures, such as prostate and urinary tract stone procedures. It is crucial to consider the incision site, type of procedure, and bacterial profile in the hospital to propose antibiotic prophylaxis guidelines.
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| format | Article |
| id | doaj-art-f8e20c83a08d4e588b66f3a6d5fc0b90 |
| institution | Kabale University |
| issn | 1972-2680 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-f8e20c83a08d4e588b66f3a6d5fc0b902025-08-20T03:52:43ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802023-06-01170610.3855/jidc.17180The use of antibiotic prophylaxis in patients undergoing urologic procedures in an academic hospital Surabaya: A retrospective studyTri Pudy Asmarawati0Tarmono Djojodimedjo1Dimas Panca Andhika2Musofa Rusli3Mariyatul Qibtiyah4Bagus Aulia Mahdi5Dwiki Novendrianto6Okla Sekar Martani7Hari Paraton8Heiman Wertheim9Kuntaman Kuntaman10Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaDr Soetomo General Academic Hospital, Surabaya, IndonesiaAirlangga University Hospital Surabaya, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Pharmacy, Dr. Soetomo Hospital, Surabaya, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Obstetrics and Gynecology, Dr. Soetomo Hospital, Surabaya, IndonesiaDepartment of Microbiology, Radboud UMC, Nijmegen, NetherlandDepartment of Microbiology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia Introduction: Prophylactic antibiotics in urological procedures are essential to prevent postoperative infections. A different approach in selecting antibiotic prophylaxis according to the type of procedure is needed. Methodology: A retrospective study was carried out at an academic hospital in Surabaya, Indonesia, by collecting medical records of patients who underwent urologic procedures within 2019- 2020, including microbiological data. Result: One hundred seventy-nine urological procedures were assessed. Antibiotic prophylaxis was administered in the clean-contaminated and clean procedures (93.2% and 6.8%, respectively). Ceftriaxone was commonly used (69.3%), single-dose, one day before the surgery. Gram-negative bacteria were widely found in the urinary culture of patients (75.2%). E. coli, K. pneumoniae, and P. aeruginosa were dominating with low susceptibility to cephalosporins. ESBL-producing bacteria were E. coli (64%) and K. pneumoniae (89%). Conclusions: The 3rd generation cephalosporins (ceftriaxone) are mostly used in urological procedures despite the low susceptibility against this antibiotic in cultured E coli, P. aeruginosa, and K. pneumonia. The aminoglycosides have relatively good activity and have been suggested in several guidelines for urologic procedures, such as prostate and urinary tract stone procedures. It is crucial to consider the incision site, type of procedure, and bacterial profile in the hospital to propose antibiotic prophylaxis guidelines. https://jidc.org/index.php/journal/article/view/17180antibiotic prophylaxisurologic procedureinfection |
| spellingShingle | Tri Pudy Asmarawati Tarmono Djojodimedjo Dimas Panca Andhika Musofa Rusli Mariyatul Qibtiyah Bagus Aulia Mahdi Dwiki Novendrianto Okla Sekar Martani Hari Paraton Heiman Wertheim Kuntaman Kuntaman The use of antibiotic prophylaxis in patients undergoing urologic procedures in an academic hospital Surabaya: A retrospective study Journal of Infection in Developing Countries antibiotic prophylaxis urologic procedure infection |
| title | The use of antibiotic prophylaxis in patients undergoing urologic procedures in an academic hospital Surabaya: A retrospective study |
| title_full | The use of antibiotic prophylaxis in patients undergoing urologic procedures in an academic hospital Surabaya: A retrospective study |
| title_fullStr | The use of antibiotic prophylaxis in patients undergoing urologic procedures in an academic hospital Surabaya: A retrospective study |
| title_full_unstemmed | The use of antibiotic prophylaxis in patients undergoing urologic procedures in an academic hospital Surabaya: A retrospective study |
| title_short | The use of antibiotic prophylaxis in patients undergoing urologic procedures in an academic hospital Surabaya: A retrospective study |
| title_sort | use of antibiotic prophylaxis in patients undergoing urologic procedures in an academic hospital surabaya a retrospective study |
| topic | antibiotic prophylaxis urologic procedure infection |
| url | https://jidc.org/index.php/journal/article/view/17180 |
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