Non-infected penile prosthesis cultures during revision surgery; comparison between antibiotic coated and non - coated devices
AUTOR(ES)
Ciftci, Seyfettin, Nemut, Tijen, Culha, Mustafa Melih, Yilmaz, Hasan, Ustuner, Murat, Yavuz, Ufuk, Ozkan, Levend, Karadenizli, Aynur, Turkan, Sadi
FONTE
Int. braz j urol.
DATA DE PUBLICAÇÃO
2016-12
RESUMO
ABSTRACT Introduction: Aim of this study is to investigate bacterial growth on non-infected devices and compare antibiotic-coated and non-coated implants. Materials and methods: The charts of 71 patients who underwent revision surgeries for penile prosthesis between 1995 and 2013 were reviewed. Of those, 31 devices were antibiotic-coated prostheses, while 40 of the implants were non-coated. Swab cultures were routinely obtained from corporal, pump or reservoir site during the operation. If a bacterial biofilm was determined on the prosthesis, it was also cultured. Results: A total of 5 different organisms were cultured from 18 patients. Of them, 4 devices were antibiotic-coated and the other 14 were non-coated devices. Staphylococcus epidermidis was the most common organism, while Staphylococcus hominis, beta hemolitic streptococcus, Escherichia coli and Proteus mirabilis were also cultured. All patients who had positive cultures were treated with appropriate antibiotics for four weeks postoperatively. Median follow-up time was 41 months, ranging between 8 and 82 months. One prosthesis (non-coated) became clinically infected in the follow-up period with a totally different organism. Culture positivity rates of antibiotic-coated and non-coated devices were 13% and 35% respectively and the result was significant (p=0.00254). Conclusions: Positive bacterial cultures are present on non-infected penile prostheses at revision surgeries in some of the patients. Antibiotic coated prostheses have much less positive cultures than non-coated devices.
Documentos Relacionados
- Comparison of bovine leukemia virus (BLV) and CMV promoter-driven reporter gene expression in BLV-infected and non-infected cells
- Estimation of IgG and IgM brucella antibodies in infected and non-infected persons by a radioimmune technique.
- Drug resistance and genotypes of strains of Mycobacterium tuberculosis isolated from human immunodeficiency virus-infected and non-infected tuberculosis patients in Bauru, São Paulo, Brazil
- Comparative analysis of Culex quinquefasciatus infected and non-infected by Wolbachia pipientis.
- Corporoplasty using bovine pericardium grafts in complex penile prosthesis implantation surgery