Application and comparison of the AUA and EAU current recommendations for antibiotic prophylaxis in the urologic patient undergoing office procedures

Abstract

The significant and frequent morbidity of post-procedural urinary tract infections has resulted in both the American Urological Association and European Association of Urology developing guidelines and recommendations. The difficulty with any guideline is the practical application to the office setting. The goal is to effectively and safely evaluate and treat patients by efficient and cost-sensitive means. By creating an algorithm to aid in the application of the guidelines, the clinician can identify the high-risk patient and potentially reduce post-procedural urinary tract infections in an efficient and cost-effective manner.

Pre-procedural antibiotics for endoscopic urological procedures: Initial experience in individuals with spinal cord injury and asymptomatic bacteriuria

“…4 The American hours of antimicrobial prophylaxis for most urological procedures. 5,6 However, a risk-benefit analysis must be performed for each patient, maintaining a lower threshold for a longer duration of antibiotic administration in high-risk patients. Urinary tract infections are especially prevalent among the SCI/D population with neurogenic bladder and asymptomatic bacteriuria.…”