Urinary Infection After Micturating Cystography

Maskell, Rosalind; Pead, Linda; Vinnicombe, J.

doi:10.1016/s0140-6736(78)92169-4

Cited by 38 publications

(26 citation statements)

References 2 publications

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“…This issue could be addressed by performing a controlled study comparing prophylaxis with no treatment. Contrary to Maskell et al [8], who did not demonstrate an association between post-VCUG infections and radiological abnormalities, we found the presence of VUR to be a risk factor for developing post-VCUG infections. Moreover, patients with moderate to severe VUR were more prone to developing post-VCUG infections than patients with mild VUR.…”

Section: Discussioncontrasting

confidence: 99%

“…Seven percent of the patients in the untreated group had asymptomatic bacteriuria 4-9 days post-VCUG, compared with sterile cultures in all patients in the treated group. Maskell et al [8] assessed the incidence of VCUGinduced infections in 87 patients who were examined for various indications. Some of the patients were treated with antibiotics at the time of the VCUG, but the prophylaxis protocol was not reported.…”

Section: Discussionmentioning

confidence: 99%

“…It has been recommended that bladder catheterization should be performed in the radiology department under aseptic conditions. The smallest diameter catheter should be used, and short-term chemoprophylaxis should be administered [5,6,7,8,9]. However, a standard antibiotic prophylactic protocol peri-VCUG does not exist.…”

Section: Introductionmentioning

confidence: 99%

“…However, a standard antibiotic prophylactic protocol peri-VCUG does not exist. The incidence of bacteriuria post-VCUG has been reported, but surprisingly, data concerning symptomatic urinary tract infections (UTI) post-VCUG are meager [7,8,10,11,12,13].…”

Section: Introductionmentioning

confidence: 99%

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Symptomatic urinary tract infections following voiding cystourethrography

et al. 2005

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The objective of this study was to assess the frequency of symptomatic urinary tract infections (UTIs) following voiding cystourethrography (VCUG) while using prophylactic antibiotics. Medical records of 421 patients who underwent a VCUG during a period of 4 years were reviewed. Three hundred forty-nine had a VCUG following a febrile UTI, and 72 had the test for evaluation of hydronephrosis. All received prophylactic antibiotics and were evaluated within 7-10 days following the VCUG. One hundred seventy-two children (41%) had an abnormal VCUG. Seven of 421 children (1.7%) had symptoms suggestive of UTI. Two had culture negative pyuria; one had Escherichia Coli UTI, and four had Pseudomonas aeruginosa UTI. On multivariate logistic regression analysis, the risk factors contributing to the development of UTI following VCUG were the presence of vesicoureteral reflux (VUR) and its severity (odds ratio [OR] 2.52; 95% confidence interval [CI] 2.24, 2.83, p =0.001; and OR 2.32; 95% CI 2.05,2.62, p =0.04, respectively). The incidence of VCUG-induced UTI in children receiving prophylactic antibiotic therapy is low. There is a relatively high rate of Pseudomonas UTI, especially in children with moderate to severe reflux. We recommend that children with symptoms suggesting a UTI following a VCUG should be treated for Pseudomonas aeruginosa pending culture results.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Symptomatic urinary tract infections following voiding cystourethrography

et al. 2005

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“…In our study, all three children with postcatheterization UTI were even younger, less than 1 year. In another study of 87 patients undergoing MUCG [Maskell et al, 1978], 21% developed UTIs with no di¡erence between the sexes. According to the authors, the risk was primarily dependent on whether the patient received prophylactic antibacterial treatment or not.…”

Section: Discussionmentioning

confidence: 93%