Is Antibiotic Prophylaxis Necessary for Routine Urodynamic Investigations?: A Controlled Study in 100 Patients

Coptcoat, M. J.; Reed, C.E.; Cumming, J.; Shah, P.J.R.; Worth, P. H. L.

doi:10.1111/j.1464-410x.1988.tb13962.x

Cited by 32 publications

(15 citation statements)

References 2 publications

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“…This difference was not significant ( P =0.07) but constituted a trend. Although the value of prophylactic antibiotics has not been shown [ 16, 17], this practice would appear to be reasonable in individual cases (e.g. elderly women with a poor flow rate).…”

Section: Discussionmentioning

confidence: 99%

Urinary tract infection after urodynamic studies in women: incidence and natural history

Bombieri¹,

Dance

Rienhardt³

et al. 1999

BJU International

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Objective To study the incidence, natural history and ated with bacteriuria after urodynamic studies (P= 0.05). Menopausal status, past history of urinary tract symptomatic eCects of bacteriuria after urodynamic studies in women.infection, number of urethral instrumentations required, order number in a session, peak urinary flow Patients and methods In a prospective study in the urogynaecology clinic of a large District General rate and urodynamic diagnosis were not associated variables. Hospital, 214 women (mean age 52.3 years, range 23-81) underwent urodynamic studies. BacteriuriaConclusions In a large series of women presenting to a urogynaecology clinic, urodynamic investigations was detected by semiquantitative culture at 2 and 7 days after the test. Women completed a 7-day diary were associated with a high incidence of transient irritative symptoms but a low incidence of bacteriuria of symptoms and events. Results The incidence of bacteriuria after urodynamic (8%). Infection was asymptomatic in most patients, but its natural history was unpredictable. Transient, studies was 7.9%. Bacteriuria was transient in four of 17 women but persisted in nine and developed late in persistent and late cases of bacteriuria all occurred. In this population, urodynamic studies are associated four; only one of 17 infections gave rise to symptoms. Irritative bladder symptoms after the test occurred in with a low level of morbidity.

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Section: Discussionmentioning

confidence: 99%

Urinary tract infection after urodynamic studies in women: incidence and natural history

Bombieri¹,

Dance

Rienhardt³

et al. 1999

BJU International

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“…Of the 140 articles, 4 met the eligibility criteria for final inclusion in the systematic review. [20][21][22][23] One trial addressed cystoscopy, and 3 trials addressed urodynamic studies. Although we did seek to include trials of antibiotic prophylaxis before TURBT procedures, we did not identify any trials that met our inclusion criteria.…”

Section: Results Of Literature Searchmentioning

confidence: 99%

CUA Guidelines on antibiotic prophylaxis for urologic procedures

Mrkobrada¹,

Ying²,

Mokrycke³

et al. 2015

CUAJ

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“…The rate of UTI after urodynamics ranges from 0-8.2% with antibiotic prophylaxis, and up to 28.3% without it [1][2][3][4][5]. Nevertheless, it is unclear whether the benefits of antibiotic prophylaxis for the prevention of lower UTI after urodynamics outweigh the risks.…”

Section: Introductionmentioning

confidence: 99%

Prophylactic antibiotics after urodynamics in women: a decision analysis

et al. 2006

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The objective of this paper is to compare the risks and benefits of antibiotics to prevent urinary tract infection (UTI) after urodynamics. We developed a decision analytic model to compare the use of prophylactic antibiotics with no antibiotic use after urodynamics to prevent UTI. Risks and benefits were estimated from the literature and by consensus. The main outcome measure was the occurrence of UTI. Secondary outcomes were the development of adverse events and possible sequelae. One-way sensitivity analyses estimated the effect of varying each characteristic through its range while all other characteristics were fixed at their baseline values. The effectiveness of prophylaxis after urodynamics was a reduction of UTI from 9.2 (no antibiotics) to 5.3% (antibiotics). One-way sensitivity analysis of the probability of UTI without prophylaxis yielded a threshold infection rate of 10%, below which, the strategy of no prophylaxis was favored. In this model, prophylactic antibiotics after urodynamics are not beneficial until the rate of UTI without antibiotics exceeds 10%.

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Is Antibiotic Prophylaxis Necessary for Routine Urodynamic Investigations?: A Controlled Study in 100 Patients

Abstract: The value of a prophylactic antibiotic before a routine cystometrogram has been assessed in a controlled trial of 100 patients. The infection rate was low and not statistically different in both groups. Subsequent symptoms of dysuria and haematuria had a mechanical aetiology.

Cited by 32 publications

References 2 publications

Urinary tract infection after urodynamic studies in women: incidence and natural history

Urinary tract infection after urodynamic studies in women: incidence and natural history

CUA Guidelines on antibiotic prophylaxis for urologic procedures

Prophylactic antibiotics after urodynamics in women: a decision analysis

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