Antibiotics on urethral catheter withdrawal: a hit and miss affair

Wazait, H.D.; Meullen, J. van der; Patel, H.R.H.; Brown, Calvin; Gadgil, S D; Miller, Ronald; Kelsey, M.C.; Emberton, Mark

doi:10.1016/j.jhin.2004.06.012

Cited by 26 publications

(19 citation statements)

References 13 publications

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“…[12] During this time period, despite being on a 48-hour course of ciprofloxacin did not decrease the incidence of CA-UTIs. [12] Almost all the data on CA-UTIs has been on novel catheter systems, such as silverimpregnated or antimicrobial catheters. However, the use of these catheters have not decreased the incidence of symptomatic CA-UTI rates.…”

Section: Discussionmentioning

confidence: 71%

“…The use of long-term antibiotics prophylactic has been used in patients with CA-UTIs. [12] Wazait et al assessed the use of prophylactic antibiotics in patients with and without existing bacteriuria. [12] A total of 48 patients were enrolled.…”

Section: Discussionmentioning

confidence: 99%

“…[12] Wazait et al assessed the use of prophylactic antibiotics in patients with and without existing bacteriuria. [12] A total of 48 patients were enrolled. Within a 2-week time period, 3 patients were diagnosed with a CAUTIs.…”

Section: Discussionmentioning

confidence: 99%

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Does cranberry have a role in catheter-associated urinary tract infections?

Thomas

Rutman

Cooper

et al. 2017

CUAJ

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Introduction: Catheter-associated urinary tract infections (CA-UTIs) are a prevalent and costly condition, with very few therapeutic options. We sought to evaluate the efficacy of an oral cranberry supplement on catheter-associated urinary tracts infections over a six-month period. Methods: Subjects with long-term indwelling catheters and recurrent symptomatic CA-UTIs were enrolled to take a once-daily cranberry supplement -an oral cranberry supplement with 36 mg of the active ingredient proanthocyanidin (PACs). Primary outcome was reducing the number of symptomatic CA-UTIs. This was defined by ≥103 (cfu)/mL of ≥1 bacterial species in a single catheter urine specimen and signs and symptoms compatible with CA-UTI. Secondary outcomes included bacterial counts and resistance patterns to antibiotics. Results: 34 patients were enrolled in the trial; 22 patients (mean age 77.22 years, 77.27% were men), completed the study. Cranberry was effective in reducing the number of symptomatic CAUTIs in all patients (n=22). Resistance to antibiotics was reduced by 28%. Furthermore, colony counts were reduced by 58.65%. No subjects had adverse events while taking cranberry. Conclusions: Cranberry reduced the number of symptomatic CA-UTIs, antibiotic resistances, and major causative organisms in this cohort. Larger, placebo-controlled studies are needed to further define the role of cranberry in CA-UTIs.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

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Does cranberry have a role in catheter-associated urinary tract infections?

Thomas

Rutman

Cooper

et al. 2017

CUAJ

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“…A survey of urologists, geriatricians, microbiologists, infection control nurses and continence advisors in the UK found that 19% of respondents prescribe antibiotics in all cases when the catheter is removed, 41% prescribe antibiotics in selected cases (e.g., presence of prosthesis, immunosuppression) and 40% never prescribe antibiotic prophylaxis. 6 There has been 1 small, underpowered trial where the aim was to determine whether ciprofloxacin given at the time of urinary catheter removal would decrease the incidence of subsequent UTI. 7 Forty-eight patients were randomly assigned to receive ciprofloxacin or placebo.…”

Section: Commentarymentioning

confidence: 99%

Is there a role for prophylactic antibiotics in the prevention of urinary tract infections following Foley catheter removal in patients having abdominal surgery?

Cutter¹

2011

Can J Surg

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“…A recent randomized study in patients undergoing non-urological abdominal surgery shows a significant benefit of the use the antibiotic prophylaxis at the moment of the catheter removal [8]. However, there is currently no robust evidence in this population to advocate the use of antibiotics at the time of catheter removal [9,10]. The present study was undertaken to assess if a shortterm antibiotic therapy (ABT) starting the day before catheter removal decreases the incidence of subsequent symptomatic UTI in patients undergoing LRP.…”

Section: Introductionmentioning

confidence: 99%

Role of Short-Term Antibiotic Therapy at the Moment of Catheter Removal after Laparoscopic Radical Prostatectomy

et al. 2010

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Objective: To assess the role of short-term antibiotic therapy (ABT) in preventing urinary tract infection (UTI) after catheter removal following laparoscopic radical prostatectomy (LRP). Methods: 729 consecutive patients underwent LRP by one of two surgeons. One surgeon systematically prescribed a 3-day course of ABT (ciprofloxacin) starting the day before catheter removal; the other surgeon did not. The groups were compared for the incidence of symptomatic UTI occurring within 6 weeks after catheter removal. Results: ABT was given to 261 of 713 patients (37%), while the remaining 452 patients (63%) did not receive ABT. After catheter removal, UTI was observed less frequently among patients receiving ABT: 3.1 vs. 7.3% in those not receiving ABT (p = 0.019). A number needed to treat to prevent 1 UTI is 24. Hospital readmission for febrile UTI was observed only in patients who did not receive ABT (n = 5, 1.1 vs. 0%, p = 0.16). One would need to prescribe ABT for 91 LRP patients to prevent 1 case of febrile UTI. Conclusions: ABT at the time of catheter removal reduced the risk of postoperative UTI after LRP. One would need to prescribe ABT to 24 patients to prevent 1 case of UTI.

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Antibiotics on urethral catheter withdrawal: a hit and miss affair

Cited by 26 publications

References 13 publications

Does cranberry have a role in catheter-associated urinary tract infections?

Does cranberry have a role in catheter-associated urinary tract infections?

Is there a role for prophylactic antibiotics in the prevention of urinary tract infections following Foley catheter removal in patients having abdominal surgery?

Role of Short-Term Antibiotic Therapy at the Moment of Catheter Removal after Laparoscopic Radical Prostatectomy

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