Preoperative assessment of the patient and risk factors for infectious complications and tentative classification of surgical field contamination of urological procedures

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dc.authorwosidNaber, Kurt/AAR-9997-2020
dc.contributor.authorGrabe, Magnus
dc.contributor.authorBotto, Henry
dc.contributor.authorCek, Mete
dc.contributor.authorTenke, Peter
dc.contributor.authorWagenlehner, Florian M. E.
dc.contributor.authorNaber, Kurt G.
dc.contributor.authorJohansen, Truls E. Bjerklund
dc.date.accessioned2024-06-12T11:16:59Z
dc.date.available2024-06-12T11:16:59Z
dc.date.issued2012
dc.departmentTrakya Üniversitesien_US
dc.description.abstractPurpose To assess the patient and identify the risk factors for infectious complications in conjunction with urological procedures and suggest a model for classification of the procedures. Method Review of literature, critical analysis of data and tentative model for reducing infectious complications. Results Risk factors are bound to the patient and to the procedure itself and are associated with the environment where the healthcare is provided. Assuming a clean environment and sterile operation Weld, a five-level assessment ladder related to the patient and type of surgery is useful, considering: (1) the ASA score, (2) the general risk factors, (3) the individual endogenous and exogenous risk factors, (4) the class of surgery and the potential bacterial contamination burden and (5) the level of severity and difficulty of the surgical intervention. A cumulative approach will identify the level of risk for each patient and define preventive measures, such as the type of antibiotic prophylaxis or therapeutic measures before surgery. There are data suggesting that the higher the ASA score, the higher is the risk of infectious complication. Age, dysfunction of the immune system, hypo-albuminaemia/malnutrition and overweight, uncontrolled blood glucose level and smoking are independent general risk factors, whilst bacteriuria, indwelling catheter treatment, urinary tract stone disease, urinary tract obstruction and a history of urogenital infection are specific urological risk factors. There is inconclusive evidence for most other reported risk factors. The level of contamination of the surgical Weld is of utmost importance as are the procedure-related factors, and the sum of these have to be reflected on for the subsequent perioperative management of the patient. Conclusions It is essential to identify and control risk factors to minimize infectious complications in conjunction with urological procedures. Our knowledge is limited and clinical research and quality registries analysing risk factors must be undertaken. We propose a working basis for assessment of patients' risk factors and classification of urological procedures.en_US
dc.identifier.doi10.1007/s00345-011-0722-z
dc.identifier.endpage50en_US
dc.identifier.issn0724-4983
dc.identifier.issn1433-8726
dc.identifier.issue1en_US
dc.identifier.pmid21779836en_US
dc.identifier.scopus2-s2.0-84856225372en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage39en_US
dc.identifier.urihttps://doi.org/10.1007/s00345-011-0722-z
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24527
dc.identifier.volume30en_US
dc.identifier.wosWOS:000302405800006en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofWorld Journal Of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectUrologic Surgeryen_US
dc.subjectEndourologyen_US
dc.subjectRisk Factorsen_US
dc.subjectInfectious Complicationsen_US
dc.subjectUrinary Tract Infectionen_US
dc.subjectSurgical Classesen_US
dc.subjectSurgical Field Contaminationen_US
dc.subjectUrinary-Tract-Infectionsen_US
dc.subjectTransurethral Prostatic Resectionen_US
dc.subjectShock-Wave Lithotripsyen_US
dc.subjectAntibiotic-Prophylaxisen_US
dc.subjectAntimicrobial Prophylaxisen_US
dc.subjectSite Infectionen_US
dc.subjectPercutaneous Nephrolithotomyen_US
dc.subjectWound Complicationsen_US
dc.subjectFlexible Cystoscopyen_US
dc.subjectSurgeryen_US
dc.titlePreoperative assessment of the patient and risk factors for infectious complications and tentative classification of surgical field contamination of urological proceduresen_US
dc.typeArticleen_US

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