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Titel:

Antibiotic Coating of the Artificial Urinary Sphincter (AMS 800): Is it Worthwhile?

Dokumenttyp:
Journal Article; Article
Autor(en):
Hüsch, Tanja; Kretschmer, Alexander; Thomsen, Frauke; Kronlachner, Dominik; Kurosch, Martin; Obaje, Alice; Anding, Ralf; Pottek, Tobias; Rose, Achim; Olianas, Roberto; Friedl, Alexander; Hübner, Wilhelm; Homberg, Roland; Pfitzenmaier, Jesco; Grein, Ulrich; Queissert, Fabian; Naumann, Carsten M; Schweiger, Josef; Wotzka, Carola; Nyarangi-Dix, Joanne; Hofmann, Torben; Ulm, Kurt; Bauer, Ricarda M; Haferkamp, Axel
Abstract:
To investigate the impact of the antibiotic coating InhibiZone on the infection and explantation rates of the AMS 800 in comparison to the AMS 800 without InhibiZone.We retrospectively identified 305 patients with an AMS 800 in a multicenter cohort study. Patients were subsequently divided into InhibiZone and without InhibiZone-coated groups. Infection and explantation rates were analyzed by univariate and consecutively by multivariate logistic regression adjusted to variable risk factors. The infection-free interval was estimated by Kaplan-Meier plot and compared by the log-rank test. A P value below .05 was considered statistically significant.We identified 47 patients with InhibiZone and 258 without InhibiZone coating. In univariate analysis, we could not identify a significant difference in infection (P = .932) or explantation (P = .715) rates between the groups. In multivariate analysis, impaired wound healing (P = .008) and urethral erosion (P < .001) were independent predictors for infection. The InhibiZone coating neither demonstrated significant influence on the infection rate (P = .534) nor on the explantation rate (P = .214). There was no significant difference in estimated infection-free survival between the groups (P = .265).The antibiotic coating of the AMS 800 had no significant impact on infection or explantation rates in our cohort.
Zeitschriftentitel:
Urology
Jahr:
2017
Band / Volume:
103
Seitenangaben Beitrag:
179-184
Sprache:
eng
Volltext / DOI:
doi:10.1016/j.urology.2016.12.056
PubMed:
http://view.ncbi.nlm.nih.gov/pubmed/28093308
Print-ISSN:
0090-4295
TUM Einrichtung:
Institut für Medizinische Statistik und Epidemiologie
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