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Multicenter investigation on the influence of climate in penile prosthesis infection.
Gross, Martin S; Vollstedt, Annah J; Cleves, Mario A; Glina, Sidney; Honig, Stanton C; Perito, Paul; Stahl, Peter J; Gayá, Mariano Rosselló; Gheiler, Edward; Ralph, David J; Köhler, Tobias; Stember, Doron S; Carrion, Rafael; Maria, Pedro; Brant, William O; Garber, Bruce; Burnett, Arthur L; Eid, J Francois; Henry, Gerard D; Munarriz, Ricardo.
Afiliación
  • Gross MS; Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. martin.s.gross@gmail.com.
  • Vollstedt AJ; Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
  • Cleves MA; University of Arkansas for Medical Sciences, Little Rock, AR, USA.
  • Glina S; Faculdade de Medicina do ABC/Instituto H.Ellis, São Paulo, Brazil.
  • Honig SC; Yale School of Medicine, New Haven, CT, USA.
  • Perito P; Perito Urology, Coral Gables, FL, USA.
  • Stahl PJ; Columbia University College of Physicians & Surgeons, New York City, NY, USA.
  • Gayá MR; Hospital Quirón Palmaplanas Salud, Palma de Mallorca, Spain.
  • Gheiler E; Urology Specialists, Hialeah, FL, USA.
  • Ralph DJ; University College London Hospital, London, UK.
  • Köhler T; Mayo Clinic, Rochester, MN, USA.
  • Stember DS; Mount Sinai Hospital, New York City, NY, USA.
  • Carrion R; USF Morsani College of Medicine, Tampa, FL, USA.
  • Maria P; Albert Einstein College of Medicine, New York City, NY, USA.
  • Brant WO; Intermountain Healthcare, Salt Lake City, UT, USA.
  • Garber B; Hahnemann University Hospital, Philadelphia, PA, USA.
  • Burnett AL; Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Eid JF; Advanced Urological Care, New York City, NY, USA.
  • Henry GD; Ark-La-Tex Urology, Bossier City, LA, USA.
  • Munarriz R; Boston University Medical Center, Boston, MA, USA.
Int J Impot Res ; 32(4): 387-392, 2020 Jul.
Article en En | MEDLINE | ID: mdl-31043705
The purpose of this study is to investigate the relationship between inflatable penile prosthesis (IPP) infection, time of year, climate, temperature and humidity. This is a retrospective IRB-approved analysis of 211 patients at 25 institutions who underwent salvage procedure or device explant between 2001 and 2016. Patient data were compiled after an extensive review of all aspects of their electronic medical records. Climate data were compiled from monthly norms based on location, as well as specific data regarding temperature, dew point, and humidity from dates of surgery. Rigorous statistical analysis was performed. We found that penile prosthesis infections occurred more commonly in June (n = 24) and less frequently during the winter months (n = 39), with the lowest number occurring in March (n = 11). One-hundred thirty-nine infections occurred at average daily temperatures greater than 55 °F, compared to 72 infections at less than 55 °F. The incidence rate ratio for this trend was 1.93, with a p-value of <0.001. Humidity results were similar, and fungal infections correlate with daily humidity. Infected implants performed in the fall and summer were over 3 and 2.3 times, respectively, more likely to grow Gram-positive bacteria compared to implants performed in spring (p = 0.004; p = 0.039). This was consistent across geographic location, including in the Southern hemisphere. We found trends between climate factors and IPP infection like those seen and proven in other surgical literature. To our knowledge these data represent the first exploration of the relationship between temperature and infection in prosthetic urology.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades del Pene / Prótesis de Pene / Infecciones Relacionadas con Prótesis / Implantación de Pene Tipo de estudio: Observational_studies Límite: Humans / Male Idioma: En Revista: Int J Impot Res Asunto de la revista: MEDICINA REPRODUTIVA / UROLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades del Pene / Prótesis de Pene / Infecciones Relacionadas con Prótesis / Implantación de Pene Tipo de estudio: Observational_studies Límite: Humans / Male Idioma: En Revista: Int J Impot Res Asunto de la revista: MEDICINA REPRODUTIVA / UROLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido