As has already been discussed, Gram-negative bacteria following operation on the urinary tract are very common and the consequences of such an infection may be extreme. It has been repeatedly demonstrated that prophylactic antibiotics in routine “clean” cases are of little or no value, but there are three groups of patients who are at additional risk and in whom, therefore, the use of preoperative antibiotics is justified:
Those who have heart valve disease, artificial valves, artificial joints or vascular grafts, etc.
Those who have had a long-term indwelling catheter or nephrostomy tubes.
Those who are known to have an existing infection.
KeywordsPublic Health Urinary Tract Additional Risk Prophylactic Antibiotic Vascular Graft
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© Palgrave Macmillan, a division of Macmillan Publishers Limited 1991