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Authors:
Tahmina Zahan, Morshed Nasir , Shoeb Alam , Mohibur Rahman, Ali Akbor, Bangladesh
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Abstract:
Transurethral resection of prostate is a common procedure in genitourinary surgery. The contaminated nature and instrumentation during the procedure leads to urinary infection as well as devastating septicemia. Hence the incidence of prophylactic use of broad spectrum antibiotics in TURP case arises. Therefore, the aim of the study is to determine the justification of preoperative antibiotic as prophylaxis and post prostatectomy related urinary tract infection and its correlation with peri-operative events in patients with benign prostatic hyperplasia.60 patients of benign prostatic hyperplasia were selected according to inclusion and exclusion criteria. Urine samples were collected to measure routine examination and culture sensitivity pre-operatively and post-operatively in different groups, receiving injection ceftriaxone 1gm and injection Gentamicin 80 mg. Results shows that pre-operative and per-operative antibiotics are not much effective than that of post-operative antibiotic therapy in controlling urinary tract infection in patients undergoing TURP. The present study revealed that prophylactic single dose of antibiotics and per-operative antibiotics can be omitted and post-TURP antibiotics should be given from 3rd to 5th POD.
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