A Surgeon's Guide to the Various Antibiotic Dips Available During Penile Prosthesis Implantation.
Antibiotic dips
IPPs (inflatable penile prosthesis)
Penile implant infections
Penile implant surgery
Journal
Current urology reports
ISSN: 1534-6285
Titre abrégé: Curr Urol Rep
Pays: United States
ID NLM: 100900943
Informations de publication
Date de publication:
30 Jan 2019
30 Jan 2019
Historique:
entrez:
1
2
2019
pubmed:
1
2
2019
medline:
7
2
2019
Statut:
epublish
Résumé
Inflatable penile prosthesis (IPP) is a treatment for erectile dysfunction. IPPs have undergone improvements; however, post-surgical infections still occur. Furthermore, the type of pathogens infecting the implants has changed recently from Gram-positive to Gram-negative bacteria and fungi due to advances in antibiotic dips targeting the skin flora. To protect against infection, the AMS 700 is pre-coated with InhibiZone (mixture of Rifampin/Minocycline) and the Coloplast Titan, with several antibiotic dip options of differing efficacies. This review discusses strategies to decrease the infection rates in implant surgery, focusing on antibiotic dips. Current research endorses the use of rifampin/gentamicin as the most studied combination; however, some studies have utilized different dips for additional coverage including the InhibiZone on the AMS 700. With the increasing prevalence of diabetes and Gram-negative organisms, there is a need to develop strategies for increased coverage against infections. Controlled studies with different antibiotic combinations are needed to identify the ideal cocktail to decrease infection.
Identifiants
pubmed: 30701340
doi: 10.1007/s11934-019-0874-8
pii: 10.1007/s11934-019-0874-8
doi:
Substances chimiques
Anti-Bacterial Agents
0
Coated Materials, Biocompatible
0
Delayed-Action Preparations
0
Types de publication
Historical Article
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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