چکیده (انگلیسی):

Objective: This study was conducted to identify the safety measures of performing
clean urologic operations without administration of prophylaxis antibiotics.
Methods: We conducted a double-blind randomized controlled trial with patients who underwent
clean urologic operations in Cipto Mangunkusumo Hospital, Jakarta, Indonesia, from April
2013 to January 2014. The local and systemic infection states were compared between the prophylaxis
and placebo groups. Local infection was identified as surgical site infection and systemic
infection as fever and leukocytosis.
Results: A total of 42 patients participated in the study (21 patients in each group), comprising 14
(33.3%) children and 28 (66.7%) adults. The most frequently performed operation was surgical
sperm retrieval. No patients in either group were found to have local or systemic infection. However,
there was a statistical difference in the white blood cell counts between the two groups
(p Z 0.003), although there was no sign of local or systemic infection in any of the patients.
Conclusion: Clean urologic operations without prophylaxis antibiotic therapy can be safely
applied to urologic patients.