Abstract：
BACKGROUND: Variations in climate have been associated with a greater risk of surgical site infections, urinary tract infections, and changes in the skin microbiome; however, limited data exist on the impact of climate on inflatable penile prosthesis (IPP) infections.
OBJECTIVE: We sought to evaluate the impact of climate on the risk of IPP infections in a large international, multicenter cohort.
METHODS: We performed a multi-institutional, retrospective study of patients undergoing IPP surgery. We then evaluated whether the month or season, during which surgery was performed, affected device infections. Implant infections were defined as infections requiring device explantation. A univariate logistic regression analysis was undertaken.
RESULTS: Our primary outcome was implant infection.
RESULTS: A total of 5289 patients with a mean age of 62.2 ± 10.8 years received IPP placement. There was a fairly even distribution of implants performed in each season. A total of 103 (1.9%) infections were recorded. There were 32 (31.1%) IPP infections in patients who underwent surgery in the summer, followed by 28 (27.2%) in the winter, 26 (25.2%) in the spring, and 17 (16.5%) in the fall. No statistically significant differences were recorded in terms of season (P = .19) and month (P = .29). The mean daily temperature (P = .43), dew point (P = .43), and humidity (P = .92) at the time of IPP placement was not associated with infection.
CONCLUSIONS: These findings provide reassurance to prosthetic urologists that infection reduction strategies do not need to be tailored to local climate.
UNASSIGNED: Climate data were not directly recorded for each hospital, but rather based on the monthly averages in the city where the surgery was performed.
CONCLUSIONS: The climate at time of IPP placement and time of year of surgery is not associated with IPP infection risk.
OBJECTIVE: We sought to evaluate the impact of climate on the risk of IPP infections in a large international, multicenter cohort.
METHODS: We performed a multi-institutional, retrospective study of patients undergoing IPP surgery. We then evaluated whether the month or season, during which surgery was performed, affected device infections. Implant infections were defined as infections requiring device explantation. A univariate logistic regression analysis was undertaken.
RESULTS: Our primary outcome was implant infection.
RESULTS: A total of 5289 patients with a mean age of 62.2 ± 10.8 years received IPP placement. There was a fairly even distribution of implants performed in each season. A total of 103 (1.9%) infections were recorded. There were 32 (31.1%) IPP infections in patients who underwent surgery in the summer, followed by 28 (27.2%) in the winter, 26 (25.2%) in the spring, and 17 (16.5%) in the fall. No statistically significant differences were recorded in terms of season (P = .19) and month (P = .29). The mean daily temperature (P = .43), dew point (P = .43), and humidity (P = .92) at the time of IPP placement was not associated with infection.
CONCLUSIONS: These findings provide reassurance to prosthetic urologists that infection reduction strategies do not need to be tailored to local climate.
UNASSIGNED: Climate data were not directly recorded for each hospital, but rather based on the monthly averages in the city where the surgery was performed.
CONCLUSIONS: The climate at time of IPP placement and time of year of surgery is not associated with IPP infection risk.
摘要：
背景：气候的变化与手术部位感染的更大风险有关，尿路感染,和皮肤微生物组的变化;然而，关于气候对充气阴茎假体（IPP）感染的影响的数据有限。
目的：我们试图评估气候对IPP感染风险的影响，多中心队列。
方法：我们执行了多机构，IPP手术患者的回顾性研究。然后我们评估了月份还是季节，在手术期间，受影响的设备感染。将植入物感染定义为需要装置外植体的感染。进行单因素logistic回归分析。
结果：我们的主要结果是植入物感染。
结果：共有5289例患者接受了IPP治疗，平均年龄为62.2±10.8岁。每个季节进行的植入物分布相当均匀。总共记录了103例（1.9％）感染。在夏季接受手术的患者中有32例（31.1％）IPP感染，其次是冬季的28（27.2％），春季26（25.2％），和17（16.5%）在秋季。在季节（P=0.19）和月份（P=0.29）方面没有统计学上的显着差异。日平均气温(P=0.43)，露点（P=0.43），IPP放置时的湿度（P=0.92）与感染无关。
结论：这些发现为假肢泌尿科医师提供了保证，即减少感染的策略不需要根据当地气候进行调整。
■没有直接记录每个医院的气候数据，而是基于进行手术的城市的月平均值。
结论：IPP放置时间和手术年份的气候与IPP感染风险无关。
目的：我们试图评估气候对IPP感染风险的影响，多中心队列。
方法：我们执行了多机构，IPP手术患者的回顾性研究。然后我们评估了月份还是季节，在手术期间，受影响的设备感染。将植入物感染定义为需要装置外植体的感染。进行单因素logistic回归分析。
结果：我们的主要结果是植入物感染。
结果：共有5289例患者接受了IPP治疗，平均年龄为62.2±10.8岁。每个季节进行的植入物分布相当均匀。总共记录了103例（1.9％）感染。在夏季接受手术的患者中有32例（31.1％）IPP感染，其次是冬季的28（27.2％），春季26（25.2％），和17（16.5%）在秋季。在季节（P=0.19）和月份（P=0.29）方面没有统计学上的显着差异。日平均气温(P=0.43)，露点（P=0.43），IPP放置时的湿度（P=0.92）与感染无关。
结论：这些发现为假肢泌尿科医师提供了保证，即减少感染的策略不需要根据当地气候进行调整。
■没有直接记录每个医院的气候数据，而是基于进行手术的城市的月平均值。
结论：IPP放置时间和手术年份的气候与IPP感染风险无关。
