|LETTER TO EDITOR
|Year : 2017 | Volume
| Issue : 6 | Page : 231
Prophylactic antibiotics and percutaneous nephrolithotomy
Beuy Joob1, Viroj Wiwanitkit2
1 Sanitation 1 Medical Academic Center, Bangkok, Thailand
2 Department of Tropical Medicine, Hainan Medical University, Haikou, China
|Date of Web Publication||8-Dec-2017|
Dr. Beuy Joob
Sanitation 1 Medical Academic Center, Bangkok
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Joob B, Wiwanitkit V. Prophylactic antibiotics and percutaneous nephrolithotomy. Formos J Surg 2017;50:231
Dear Editor, the publication on “Prophylactic antibiotics and percutaneous nephrolithotomy (PCNL)” by Yang et al. is very interesting. Yang et al. concluded that “The second-line prophylactic antibiotic use for tubeless PCNL does not offer additional benefit over the first-line prophylactic antibiotic in the prevention of postoperative fever or shortening of the postoperative hospital stay.” In fact, the use of either first- or second-line prophylaxis antibiotic is usually a controversial issue in surgical infection control. As noted by Lai and Assimos, “despite prophylaxis, postoperative sepsis has continued to remain the leading cause of mortality in PCNL patients.” In addition, the common forgotten issue is on the possible adverse effect due to antibiotic use. As suggested by Viers et al., “counseling patients on the risks of perioperative antimicrobial therapy at PCNL” is needed. Finally, Yang et al. might focus only on the hospital stay but forget other dimensions (such as surgical- and drug-related complication, quality of life, patient and cousin acceptance, and cost of the prophylaxis).
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Conflicts of interest
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| References|| |
Yang CY, Chen PC, Lin CL, Cheng MC, Jou YC, Shen CH. Prophylactic antibiotics for tubeless percutaneous nephrolithotomy. Formos J Surg 2017;50:97-100. [Full text]
Lai WS, Assimos D. The role of antibiotic prophylaxis in percutaneous nephrolithotomy. Rev Urol 2016;18:10-4.
Viers BR, Cockerill PA, Mehta RA, Bergstralh EJ, Krambeck AE. Extended antimicrobial use in patients undergoing percutaneous nephrolithotomy and associated antibiotic related complications. J Urol 2014;192:1667-72.