Abstract：
Background: Endoscopic surgery is now increasingly taking the place of open surgery in urology. Traditionally, endourological procedures are classified as clean-contaminated because the genitourinary tract is colonized by micro-flora, even in the case of sterile urine. The aim of this study was to determine whether a difference occurs in the infection rate after short endourological procedures using standard scrubbing and partial scrubbing techniques before the operations. Patients and Methods: This was a retrospective analysis of 397 patients who underwent a short endourological procedure, with all procedure durations lasting <30 min. Patients were divided into a first group who underwent operations using a full-scrub technique and a second group who underwent operations using a partial-scrub technique. All patients were followed up for the occurrence of urinary tract infections (UTIs). Both groups were compared for age, gender, and post-operative development of UTIs. Values of p < 0.05 were considered statistically significant. Results: Of the 397 patients, 200 and 197 underwent their procedures using the full-scrub and partial-scrub techniques, respectively. Females and males accounted for 142 (35.8%) and 255 (64.2%) patients, respectively. Only 18 (4.5%) patients developed documented UTIs and antibiotics were prescribed. Of the 18 patients diagnosed with post-operative UTIs, 10 (55.5%) had undergone partial-scrub operations and 8 (45.5%) had undergone full-scrub operations (p = 0.638). Conclusion: Our findings did not indicate any significant relationship between the risk of developing UTI after a short endourological procedure and the scrub technique used before the operation (partial or full scrub).
摘要：
背景：内镜手术现在越来越多地取代泌尿外科的开放手术。传统上,由于泌尿生殖道被微生物区系定植，因此泌尿生殖道被归类为清洁污染，即使在无菌尿液的情况下。这项研究的目的是确定在手术前使用标准擦洗和部分擦洗技术进行简短的腔内手术后感染率是否存在差异。患者和方法：这是一项对397例患者进行短期腔内手术的回顾性分析，所有手术持续时间<30分钟。将患者分为使用全擦洗技术进行手术的第一组和使用部分擦洗技术进行手术的第二组。随访所有患者尿路感染(UTIs)的发生情况。比较两组的年龄,性别,和UTI的术后发展。p<0.05的值被认为是统计学上显著的。结果：在397例患者中，200和197使用全擦洗和部分擦洗技术进行了手术，分别。女性和男性分别占142例(35.8%)和255例(64.2%),分别。只有18例（4.5％）患者发生了记录的UTI和抗生素处方。在18例诊断为术后尿路感染的患者中，10例（55.5％）进行了部分擦洗手术，8例（45.5％）进行了完全擦洗手术（p=0.638）。结论：我们的发现表明，在进行简短的腔内手术后发生UTI的风险与术前使用的擦洗技术（部分或全部擦洗）之间没有任何显着关系。
