Risk Factors Of TURP Postoperative Urinary Tract Infection

Objective: Through analyzing and summarizing the risky factors, to provide a theoretical basis for the prevention of the postoperative urinary tract infection after transurethral prostatectomy.Methods: This study selected patients from October 2012 to October 2014 in the Department of Urology, First Affiliated Hospital of Dalian Medical University,hospitalized due to benign prostatic hyperplasia following urinary tract symptoms(frequency, urgency, dysuria, urinary retention, etc.) all 224 patients were operated by TURP, all patients were confirmed as benign prostatic hyperplasia by pathology diagnosis, standards of exclution:the combination of urithral constriction, cystic calculi,NGB,preoperative infection;2.prostate cancer, a history of pelvic or urithral surgery.selected patients aged between 54 and 88,the average age is 70.6 years. All the patients were rendered a preventive preoperative antibiotic therapy.Devide the patients into infective group and non-infective group. Create a database and analyze the risky factors of postoperative infection. According to age(>70),DM,HBP,preoperative ctheterization,operating time(>90min),bleeding volume,postoperative catheterization(>7d),postoperative bladder washing.Analyze the data with SPSS18.0,define the relavent factors as variables.render the x2 test and univarialble analysis.and render the Logistic analysis for the factors with those factors with difference.with p <0.05 as statistically significant.Result: a random sample of 224 cases diagnosed as benign prostatic hyperplasia patients, transurethral resection of the prostate in patients with postoperative urinary tract infection in 41 cases, the incidence of urinary tract infection rate of about18.3%.infection group aged> 70 years were 29 of 73 cases.21 patients in the infectedgroup was with chronic medical disorders(diabetes), the uninfected group of patients with basic medical illness(diabetes) in 44 ases, urinary retention indwelling line 79 patients catheterization, the former group of patients not infected with the result of dysuria, urinary retention catheterization 25 infections in operative time> 90 minutes of the 76 patients, 30 postoperative infections indwelling catheter placement time> 7 days in 168 patients, the uninfected group after indwelling catheter placement time> 8 days in 30 patients;Conclusion: the risky factors are: a combination of chronic disease(diabetes);patients’ indwelling catheterization urinary retention;a long operating time over 90minutes; the patients’ blood glucose concentration should be controled, a preoperative antibiotic therapy should be rendered, the operating duration and indwelling catheter time should be shortened.