SEARCH FOR NEW MODES OF ANTIBIOTIC PROPHYLAXIS OF SEPTIC COMPLICATIONS AFTER PERCUTANEOUS NEPHROLITHOTRIPSY


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Resumo

The risk of infectious and inflammatory complications after PNL is based on presence of microorganisms in the form of biofilms inside the stone. Destruction of stones during surgery or lithotripsy may be a trigger for the growth of microorganisms that are integrated into the biofilms, and the migration of bacteria and their toxins in the blood flow under pressure of irrigation fluid can cause septic complications. The danger of infectious and inflammatory complications after percutaneous interventions for kidney stones requires a search for specific antibiotics for antimicrobial prophylaxis and efficient modes of their administration. The results of a comparative study of pharmacokinetic parameters of ciprofloxacin, and the effectiveness of two modes of administration (bolus dosing and prolonged intravenous administration) at a dose of 1000 mg are presented.

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Sobre autores

T. Perepanova

FSBI «SRI of Urology» of RMPH

Email: perepanova2003@mail.ru

S. Zyryanov

Russian National Scientific Medical University n.a. N.I. Pirogov of RMPH

A. Sokolov

Russian National Scientific Medical University n.a. N.I. Pirogov of RMPH

I. Tischenkova

Russian National Scientific Medical University n.a. N.I. Pirogov of RMPH

D. Merinov

FSBI «SRI of Urology» of RMPH

L. Arustamov

FSBI «SRI of Urology» of RMPH

A. Kruglov

LLC National Agency for Clinical Pharmacology and Pharmacy

U. Radzhabov

FSBI «SRI of Urology» of RMPH

Bibliografia

  1. Torzewska A., Staczek P., Rózalski A. Crystallization of urine mineral components may depend on the chemical nature of Proteus endotoxin polysaccharides. Infect Immun. 1994; Jul; 62(7):2998-3003.
  2. Dumanski A.J., Hedelin H., Edin-Liljegren A. et al. Unique ability of the Proteus mirabilis capsule to enhance mineral growth in infectious urinary calculi. Scand J UrolNephrol. 1987; 21(3):219-223.
  3. Choong S., Whitfield H. Biofilms and their role in infections in urology. BJU International. 2000; 86:935-941.
  4. Диденко Л.В., Перепанова Т.С., Толордава Э.Р. и др. К вопросу об инфекционном генезе камней почек (электронно-микроскопическое исследование). Урология. 2012;3: 4-7.
  5. Эгамбердиев Д.К. Роль инфекции мочевых путей в генезе камней почек: дисс. канд. мед. наук. М., 2013. 137 с.

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