When antibiotic resistance leads to changes in surgical practices

Surgery is regularly complicated by postoperative infections. Multi-disciplinary surgical teams, including anesthesiology, are increasingly faced with treating infections caused by resistant germs. Infection prevention has been modified over time by the constant evolution of antibiotic resistance. In urology, the situation is similar, against a backdrop of reduced accessibility to antibiotics: reduced availability of the amoxicillin-clavulanic acid association, furadantine and restrictions on the use of fluoroquinolones in particular. Urology is gradually adapting by modifying recommendations, but above all by working to reduce the use of antibiotics, reinforcing infection prevention procedures, and holding surgeons accountable. In-depth work on the use of ECBU, one of the means of diagnosing infection, is underway, gradually leading to a reduction in its usefulness, and hence in the use of antibiotics.