OBJECTIVES: To review our perioperative antibiotic management of @entity1 with chronic @entity793 who underwent urological procedures, and the relationship to @entity260 . METHODS: Between January 2002 and January 2007, 77 @entity1 with chronic @entity793 underwent 94 major open procedures, including ileocystoplasty (n = 53), ileal conduit (n = 19), and pubovaginal sling placement (n = 18). Admission urine cultures were classified as "sensitive" (sensitive to admission antibiotics or no growth), "resistant" (resistant to admission antibiotics), and "unknown" (multiple unspeciated organisms present or no admission culture data available). RESULTS: Our rate of multidrug resistance @entity793 was 46.3%. There were 7 febrile urinary tract @entity281 , 12 wound @entity281 , 1 episode of @entity295 , and no @entity6177 , yielding an infectious complication rate of 20.2%. There was no statistical relationship between urine culture status and the rate of febrile urinary tract @entity281 or @entity295 , but wound @entity281 were less common in @entity1 with "sensitive" urine cultures. Of the @entity1 who had urine cultures that demonstrated multiple unspeciated organisms, 32% were complicated by wound @entity281 . On multivariate analysis, gender, age, and body mass index were associated with the development of @entity166 . CONCLUSIONS: In a medically complex population of @entity1 , those with @entity1494 and frequent catheterization undergoing major abdominal surgery, we demonstrate an infectious complication rate of 20.2%. @entity2737 were as common in @entity1 whose urine cultures revealed multiple unspeciated organisms as those that were resistant to the perioperative antibiotics, and in this population, further characterization may allow for more appropriate perioperative coverage and a decreased rate of wound @entity281 .

@entity166 in XXXX with chronic @entity793 undergoing major urologic surgery.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['neurogenic bladder'] @entity6177 :: ('MESH:D018784', 'Disease') :: ['intra-abdominal abscesses'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative infectious complications'] @entity793 :: ('MESH:D001437', 'Disease') :: ['bacteriuria'] @entity2737 :: ('MESH:D014946', 'Disease') :: ['Wound infections'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infections'] @entity166 :: ('MESH:D003141', 'Disease') :: ['infectious complications']
@entity1 :: (9606,Species) :: ['patients']
