World journal of urology · 2025
Impact of surgical mask use by scrubbed personnel on postoperative infections in endourology: lessons from the COVID-19 era.
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Schwarztuch Gildor Omri, Veredgorn Yotam, Savin Ziv, Dekalo Snir, Sofer Mario, Yossepowitch Ofer, Nevo Amihay
Аннотация
INTRODUCTION: Surgical masks have long been standard in operating rooms to reduce infection risks, though their effectiveness, especially in minimally invasive procedures, has been increasingly questioned. Endourological surgeries present a unique setting where contamination is more likely linked to instrumentation than airborne pathogens.
OBJECTIVE: To evaluate whether the routine use of surgical masks by scrubbed personnel reduces postoperative urinary tract infections (UTIs) in endourological procedures.
METHODS: A retrospective cohort study was conducted at a single institution, comparing patient outcomes during two periods: a non-COVID-19 era (no mask use) and a COVID-19 era (universal mask use). A total of 4442 patients who underwent endourological surgery between 2017 and 2024 were included. Data on demographics, perioperative factors, and infection outcomes were analyzed.
RESULTS: The overall rate of postoperative UTIs was 2.3% in the non-mask group and 1.6% in the mask group (p = 0.101). Multivariate regression identified longer surgery duration and positive preoperative urine culture as significant predictors of postoperative UTI. Mask usage was not a statistically significant factor.
CONCLUSION: Routine surgical mask use by scrubbed personnel during endourology procedures was not associated with a significant reduction in postoperative UTI rates. These findings suggest that mask mandates in such settings may not contribute meaningfully to infection prevention and warrant reconsideration in the context of evidence-based surgical practice.
OBJECTIVE: To evaluate whether the routine use of surgical masks by scrubbed personnel reduces postoperative urinary tract infections (UTIs) in endourological procedures.
METHODS: A retrospective cohort study was conducted at a single institution, comparing patient outcomes during two periods: a non-COVID-19 era (no mask use) and a COVID-19 era (universal mask use). A total of 4442 patients who underwent endourological surgery between 2017 and 2024 were included. Data on demographics, perioperative factors, and infection outcomes were analyzed.
RESULTS: The overall rate of postoperative UTIs was 2.3% in the non-mask group and 1.6% in the mask group (p = 0.101). Multivariate regression identified longer surgery duration and positive preoperative urine culture as significant predictors of postoperative UTI. Mask usage was not a statistically significant factor.
CONCLUSION: Routine surgical mask use by scrubbed personnel during endourology procedures was not associated with a significant reduction in postoperative UTI rates. These findings suggest that mask mandates in such settings may not contribute meaningfully to infection prevention and warrant reconsideration in the context of evidence-based surgical practice.