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  • Title: Transurethral resection of the prostate without routine antibiotic prophylaxis: screening for complications.
    Author: Siriwardena AK, Small PK, Younger A, Wallace IW.
    Journal: J R Coll Surg Edinb; 1990 Apr; 35(2):95-7. PubMed ID: 2355385.
    Abstract:
    In a prospective study of 61 patients undergoing transurethral resection of the prostate without antibiotic prophylaxis there were no major postoperative complications in 55 cases (90%). A bacteriological screen involving culture of a preoperative sample of urine, an immediate preoperative urethral swab, prostatic chippings, immediate postoperative blood cultures and catheter-removal sample of urine was carried out to investigate the ability to detect infective complications. The blood cultures had a predictive value of 80% (sensitivity 80%, specificity 93%). However, the result was available in time to influence management in only one of four patients with postoperative septicaemia.
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