Abstract:
OBJECTIVES:To compare the antibiotic susceptibility of Escherichia coli (E. coli) between community- acquired acute bacterial prostatitis (CA-ABP) and ABP following transrectal ultrasound-guided prostate biopsy (Bx-ABP). METHODS:A total of 4,383 patients underwent prostate biopsy from January 2005 to June 2014. Among these patients, 34 had Bx-ABP; of which 22 patients had E. coli identified in their urine or blood culture. E. coli was also identified in 91 out of 209 patients with CA-ABP in urine or blood culture. We investigated patient and microbiological characteristics. RESULTS:The Bx-ABP (59.1%) group showed a higher bacteremia prevalence than the CA-ABP group (13.2%) (p<0.001). Significant differences in the antibiotic sensitivity to E. coli between the two groups were observed for fluoroquinolone, cephalothin, and gentamicin. The antibiotic sensitivity of fluoroquinolone in the Bx-ABP group was only 27.3%. Amikacin, imipenem, meropenem, amoxicillin/clavulanic acid, and piperacillin/ tazobactam showed more than 95% antibiotic sensitivity in both groups. Bx-ABP was an independent predictive factor for bacteremia by multivariate analysis. CONCLUSIONS:E. coli in Bx-ABP showed a higher incidence of antibiotic resistance and bacteremia than those in CA-ABP. Carbapenem may be a treatment of choice for patients suspected of having sepsis. Considering the recent emergence of carbapenem-resistant bacteria, piperacillin/tazobactam or amikacin may be considered. OBJETIVOS:Comparar la sensibilidad de Escherichia coli (E. coli) entre la prostatitis aguda bacteriana adquirida en la comunidad (PBA- AC) y la secundaria a biopsia de prostata guiada por ecografia transrectal (PBA- Bx).MÉTODOS: Un total de 4.383 pacientes fueron sometidos a biopsia de próstata entre enero 2005 y junio 2014. De estos pacientes, 34 presentaron PBA-Bx. De ellos en 22 se identificó E. coli en cultivos de orina o hemocultivos. También se identificó E. coli en orina o sangre en 91 de los 209 pacientes con PAB-AC.Investigamos las características de los pacientes y la microbiología. RESULTADOS:El grupo de pAB-Bx mostró una prevalencia mayor de bacteriemia que el de PAB-AC (59,1% frente a 13,2%) (p<0,001). Se encontraron diferencias estadísticamente significativas entre los grupos en la sensibilidad a antibióticos para fluorquinolonas, cefalotina y gentamicina. La sensibilidad a fluorquinolonas en el grupo de PBA-Bx fue sólo del 27,3%. La sensibilidad a amikacina, imipemem, meropenem, amoxicilina/ácido Clavulánico y piperacilina/tazobactam era mayor del 95% en ambos grupos. En el análisis multivariante, la PAB-BX era un factor predictivo independiente para bacteriemia. CONCLUSIONES:E. coli mostró una incidencia mayor de resistencias antibióticas y bacteriemia en las PAB-BX en comparación con las PAB-AC. En los pacientes con sospecha de sepsis, carbapenem puede ser el tratamiento de elección. Considerando la reciente aparición de bacterias resistentes a carbapenem, se pueden considerar piperacilina/tazobactam o amikacina.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Park MG,Cho MC,Cho SY,Lee JWsubject
Has Abstractpub_date
2019-12-01 00:00:00pages
1018-1025issue
10eissn
0004-0614issn
1576-8260pii
2020-72-10-ce0ba4bed67f15c7799013d988061825b3e262ejournal_volume
72pub_type
杂志文章abstract:OBJECTIVE:We report the case of a 61-year-old male with the incidental diagnosis of intrathoracic renal ectopia during the workup study for a possible lung mass. METHODS:We performed a bibliographic review on the incidence, origin, clinical presentation and diagnosis of this type of renal ectopia. RESULTS:Chest x-ray...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142008000500011
更新日期:2008-06-01 00:00:00
abstract::Although the laparoscopic ureteral reimplantation (LUR) has a history of over 20 years, its presence in the literature is relatively sparse, almost always in the form of small case series with low statistical power, which has prevented consistent results. It has proven to be a safe and effective technique, improving t...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2017-05-01 00:00:00
abstract::In the last decades, only few improvements have been made in the comprehension of bladder cancer tumor leading to few improvements in the development of new diagnostic and therapeutic approaches.However, in the last years several step forwards in the field of precision medicine have been made. In this review we focuse...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2020-12-01 00:00:00
abstract::Six patients diagnosed as having urothelial carcinoma with varying degrees of squamous features are described. Four had pure squamous carcinoma. Two had transitional cell carcinoma (1 with squamous areas and the other had carcinoma in situ). The histological analyses of specimens were performed using immunohistochemic...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:OBJECTIVES:To update a syndrome that has increased the number of pathologies included such as obesity, hypertension, hypercholesterolemia, type II diabetes mellitus, and the recent addition of erectile dysfunction and androgen deficiency METHODS:Global review of bibliography taking the last articles as a reference and...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVES:Urinary pH is a decisive factor in several pathologies, there by an informative marker employed in treatment decisions. Although extensively used, the urinary pH dipstick test may not be sufficiently accurate or precise for clinical decisions and more robust methodologies need to be considered. In this study...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2020-07-01 00:00:00
abstract::The authors reviewed treatments performed worldwide using extracorporeal shock wave lithotripsy since its introduction in West Germany in 1980 to determine the efficacy of this treatment modality and its potential risks. The prevention of complications related to patients or shock wave energy are discussed, as well as...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1989-01-01 00:00:00
abstract::Management of complex female urethral injuries is challenging. We present our experience of 9 cases over the last 3 years with a mean follow-up of 14 months. The spectrum of clinical problems and results of various forms of innovative management are highlighted. Injuries which could not be managed by primary repair or...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract:OBJECTIVE:To compare the morbidity of conventional inguinal lymphadenectomy for epidermoid carcinoma of the penis using ligation versus ultrasonic sealing of the lymph nodes with Ligasure. METHODS:29 cases of carcinoma of the penis are analyzed; 8 underwent superficial and deep inguinal lymphadenectomy using the conve...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVES:To describe a new technique for external continent urinary diversion based on the Vesica Ileale Padovana technique (VIP) with a continent hydraulic valve, which obviates the need for external permanent collecting urinary systems. METHODS:An ileal neobladder was created following the VIP technique to which w...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract::The first two living donor kidney transplants in our country (isotransplant and homotransplant respectively) were reported in 1961. We reviewed the clinical history of the renal homotransplant performed between father and son, more than half a century ago, by Carlos Younger de la Peña and Ramiro Rivera at "La Paloma' ...
journal_title:Archivos espanoles de urologia
pub_type: 历史文章,杂志文章
doi:
更新日期:2015-05-01 00:00:00
abstract::A case of polyorchism is described and the literature reviewed, highlighting the rarity of this pathological condition. To our knowledge, only 70 cases have been reported in the world literature. Similarly, Nocks' embryological development theory is discussed herein. The present case was diagnosed intraoperatively. No...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 00:00:00
abstract:OBJECTIVES:To describe a roadmap of the most representative milestones and considerations in the validation of surgical simulators, especially those of laparoscopic surgery. And additionally, help determine when in this process a simulator can be considered as validated. METHODS:A non-systematic review was carried out...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVES:To review the influence of various intravesical treatments on superficial bladder cancer recurrence. METHODS:We retrospectively reviewed 473 superficial bladder neoplasias. Based on diagnosis and transurethral resection of bladder tumor (TUR BT), and depending on pathology, we proposed different adjuvant tr...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:To report one case of malignant recurrence of a cutaneous horn of the glans penis. METHODS:We report the case of a 66-year-old male patient presenting with penile discomfort over several months. Physical examination showed a corneal lesion in the glans-penis, the biopsy of which was reported as hyperkeratos...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract::Laparoscopic colposacropexy has become a substitute for open surgery in the treatment of pelvic organ prolapse. In the same way, robotic assisted surgery is a new step in the evolution of the procedure. In this paper we intend to show our surgical technique and preliminary results. From November 2006 to date, 10 patie...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142007000400018
更新日期:2007-05-01 00:00:00
abstract::The authors present a case of sarcomatoid kidney adenocarcinome of the fibrosarcomatoid kind. They stress the importance and difficulty of making a differential diagnosis between the sarcomatoid type of kidney adenocarcinomas and pure sarcomas of the kidney, this being an entirely histopathological and extremely compl...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1978-07-01 00:00:00
abstract::Various surgical procedures have been described for correction of stress urinary incontinence (SUI) which have afforded different results. Modifications to these procedures have been made in an attempt to reduce morbidity and the operating time without detriment to the efficacy of the procedures. Herein we describe tw...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:Increasingly nephro-sparing partial nephrectomy has became widely accepted as a preferred treatment option for the select patient when the adenocarcinoma involves a solitary kidney or poorly functioning contralateral kidney, and in patients with synchronous bilateral tumors. While open partial nephrectomy is ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2002-09-01 00:00:00
abstract::Ultrasonography has demonstrated to be a precise test with high sensitivity and specificity. The urologist is the most capable professional to obtain the maximum effectiveness of this technique, so that the availability of ultrasound machines in urology departments rationalizes and limits the demand of ultrasound test...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142006000400002
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:The renal parenchyma acute infection, known as acute pyelonephritis (APN), is diagnosed and treated in some Hospital Departments of the H.C.U. Lozano Blesa. We want to know if the process was made in a homogeneous way, fixed to the described quality standards and if we could detect improvement areas. METHOD...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142009000300003
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVES:Currently there are instruments to evaluate the different features of the impact on quality of life in those patients with prostate cancer undergoing any type of treatment, but most of them have 50 or more questions and they are difficult to apply in clinical practice. An English validation of a shortened ve...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2015-06-01 00:00:00
abstract::Rectal involvement secondary to adenocarcinoma of the prostate is uncommon and carries a poor prognosis. Distinguishing secondary from primary rectal tumors is mandatory, since each condition warrants a completely different treatment. There are at least five forms of clinicopathological involvement, depending on the r...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1993-03-01 00:00:00
abstract::Two cases of breast metastases from renal carcinoma are described herein. One patient underwent nephrectomy two years earlier and the other patient presented with bilateral involvement. The cytological features gleaned from fine needle aspiration biopsy are described. The diagnostic value of fine needle aspiration is ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVE:To report an additional case of webbed penis or penis palmatus, an uncommon malformation caused by alterations that occur during the embryonic development of the external genitalia. METHODS:A 15-year-old by consulted for penile curvature. He was diagnosed as having webbed penis and phimosis, and was submitte...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVE:The genitourinary tract is one of the most common sites of extrapulmonary tuberculosis (30%-33%), followed by the lymphatic tissue, skeletal system and gut. Due to the diagnostic methods and therapeutic modalities currently available, it is infrequent to find advanced tuberculosis with extensive genitourinary...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1997-05-01 00:00:00
abstract::The Goddess of Health had two daughters, Panacea and Higinia, the fruit of the first is diagnosis, prognosis and treatment, and the fruit of the second is health management, prevention, and statistics. Humanbeings are unexpectedly subjected to:1. Happenings: they belong to the plane of the personality, crisis, the Age...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:To emphasize that adrenal cysts are an uncommon finding and in most cases incidentally discovered during evaluation for nonspecific abdominal pain or even at outopsy. METHODS:We report a case of a non-hypers-creting right adrenal cyst in a middle-aged woman. RESULTS:A complete hormone, radiological and some...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-09-01 00:00:00
abstract::Herein we describe a case of vesical bilharziasis in a Spanish patient who became infected during a trip to an endemic area. The characteristic features of the disease and particularly its relationship to squamous type bladder tumors are discussed with a special focus on treatment with Praziquantel. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1991-04-01 00:00:00
abstract:OBJECTIVE:This paper describes our initial experience with laparoscopic ureteroneocystostomy in two patients with distal ureter lesions following gynaecological surgery (hysterectomy). Furthermore, we review the evidence on the incidence, prevention, and management of urinary tract injuries that occur during laparoscop...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2019-05-01 00:00:00