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文献詳細

雑誌文献

臨床泌尿器科71巻9号

2017年08月発行

文献概要

特集 尿路結石に対する外科的治療─Stone free 100%を目指して

上部尿路結石内視鏡治療と尿路感染症

著者: 多武保光宏1

所属機関: 1杏林大学医学部泌尿器科学教室

ページ範囲:P.662 - P.669

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・上部尿路結石内視鏡治療における予防的抗菌薬投与は全例で勧められ,術前尿培養や感染性合併症の危険因子などを勘案して投与期間を検討する.

・自然尿(膀胱尿)培養は必ずしも患側腎盂尿培養や結石培養の結果を反映するわけではない.

・感染性合併症は重篤化することもあるので,絶えずその可能性を念頭に置いて術前からの準備を怠らない.

参考文献

1) McAleer IM, Kaplan GW, Bradley JS, et al : Endotoxin content in renal calculi. J Urol 169 : 1813─1814, 2003
2) American Urological Association : Best practice policy statement on urologic surgery antimicrobial prophylaxis : available at : https://www.auanet.org/guidelines/antimicrobial-prophylaxis-(2008-reviewed-and-validity-confirmed-2011-amended-2012) : accessed on Apr 30, 2017
3) European Association of Urology : Guidelines on urological infections : 2015 : available at : http://uroweb.org/wp-content/uploads/19-Urological-infections_LR2.pdf : accessed on Apr 30, 2017
4) Yamamoto S, Shigemura K, Kiyarta H, et al : Essential Japanese guidelines for the prevention of perioperative infections in the urological field : 2015 edition. Int J Urol 23 : 814─824, 2015
5) Mariappan P, Smith G, Bariol SV, et al : Stone and pelvic urine culture and sensitivity are better than bladder urine as predictors of urosepsis following percutaneous nephrolithotomy : a prospective clinical study. J Urol 173 : 1610─1614, 2005
6) Paonessa JE, Gnessin E, Bhojani N, et al : Preoperative Bladder Urine Culture as a Predictor of Intraoperative Stone Culture Results : Clinical Implications and Relationship to Stone Composition. J Urol 196 : 769─774, 2016
7) Knopf HJ, Graff HJ and Shulze H : Perioperative antibiotics prophylaxis in ureteroscopic stone removal. Eur Urol 44 : 115─118, 2003
8) Hsieh CH, Yang SS, Lin CH, et al : Are prophylactic antibiotics necessary in patients with preoperative sterile urine undergoing ureterorenoscopic lithotripsy. BJU Int 113 : 275─280, 2014
9) Lo CW, Yang SS, Hsieh CH, et al : Effectiveness of Prophylactic Antibiotics against Post-Ureteroscopic Lithotripsy Infections : Systematic Review and Meta-Analysis. Surg Infect 16 : 415─420, 2015
10) Mariappan P, Smith G, Moussa SA, et al : One week of ciprofloxacin before percutaneous nephrolithotomy significantly reduce upper tract infection and urosepsis : a prospective controlled study. BJU Int 98 : 1075─1079, 2006
11) Bag S, Kumar S, Taneja N, et al : One week of nitrofurantoin before percutaneous nephrolithotomy significantly reduce upper tract infection and urosepsis : a prospective controlled study. Urology 77 : 45─49, 2011
12) Viers BR, Cockerill PA, Mehta RA, et al : Extended antimicrobial use in patients undergoing percutaneous nephrolithotomy and associated antibiotic related complications. J Urol 192 : 1667─1672, 2014
13) Nemoy NJ and Staney TA : Surgical, bacteriological, and biochemical management of infection stone. JAMA 215 : 1470─1476, 1971
14) Zhong W, Zeng G, Wu K, et al : Does a smaller tract in percutaneous nephrolithotomy contribute to high renal pelvic pressure and postoperative fever? J Endourol 22 : 2147─2151, 2008
15) Kau EL, Ng CS and Fuchs GJ : Complications of Urologic Surgery : prevention and management 4th ed. pp303─316, Elsevier, Philadelphia, 2010
16) Ramaswamy K and Shah O : Antibiotic prophylaxis after uncomplicated ureteroscopic stone treatment : is there a difference? J Endourol 26 : 122─125, 2012
17) Chew BH, Flannigan R, Kurtz M, et al : A Single Dose of Intraoperative Antibiotics is Sufficient to Prevent Urinary Tract Infeciotn Duing Ureteroscopy. J Endourol 30 : 63─68, 2016
18) Seitz C, Desai M, Hächer A, et al : Incidence, prevention, and management of complications following percutaneous nephrolitholapaxy. Eur Urol 61 : 146─158, 2012
19) Gutierrez J, Smith A, Geavlete P, et al : Urinary tract infections and post-operative fever in percutaneous nephrolithotomy. World J Urol 31 : 1135-1140, 2013
20) Kreydin EI and Eisner BH : Risk factors for sepsis after percutaneous renal stone surgery. Nat Rev Urol 10 : 598─605, 2013
21) 日本版敗血症診療ガイドライン2016. http://www.jaam.jp/html/info/2016/pdf/J-SSCG2016_ver2.pdf
22) Cindolo L, Castellan P, Scoffone CM, et al : Mortality and flexible ureteroscopy : analysis of six cases. World J Urol 34 : 305─310, 2016

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1332

印刷版ISSN:0385-2393

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