Guidelines for the perioperative prophylaxis in urological interventions of the urinary and male genital tract

Naber, Kurt G.; Hofstetter, A.; Brühl, P.; Bichler, K.-H.; Lebert, C.

doi:10.1016/s0924-8579(00)00361-7

Cited by 33 publications

(23 citation statements)

References 25 publications

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“…There was little agreement on the choice of antibiotics, including dose and duration of prophylaxis. 8,25,26 As a result limited data are available to compare equivalent outcomes and, thus, reliability and comparability are reduced. Escherichia coli has been widely reported as the most common uropathogen isolated after urodynamics.…”

Section: Resultsmentioning

confidence: 99%

“…Escherichia coli has been widely reported as the most common uropathogen isolated after urodynamics. 1,4,16,21,25,26 In a study by Siracusano et al 262 postmenopausal women underwent UDS. 19 All patients underwent urinalysis 3 days after the procedure, and were considered positive for UTI if they had at least 1 of the characteristics of 100,000 CFU/ml or greater bacterial growth, and/or macroscopic hematuria and/or fever 38C or greater within 1 week.…”

Section: Resultsmentioning

confidence: 99%

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Antibiotic Use for Urodynamics: A Comprehensive Review that Informs Local Practice

Townsend

2016

Urology Practice

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Introduction:The question is addressed of whether antibiotics should be given prophylactically to all patients undergoing urodynamic testing or targeted only to those considered at higher risk for urinary tract infection after the procedure. A PICOT (Population, Intervention, Comparison, Outcome, Time) question was formulated to ensure a successful search strategy. The clinical question aimed to address the issue of widespread use of antibiotic prophylaxis as this remains unclear in the literature.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Antibiotic Use for Urodynamics: A Comprehensive Review that Informs Local Practice

Townsend

2016

Urology Practice

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“…In mehreren Arbeiten konnte gezeigt werden,dass Amoxycillin zwar eine Kolonisation von Enterobacter bewirkt, jedoch ohne signifikante Überwucherung von Clostridium difficile [5,58,61].Gleichzeitig wurde strikt eine "Single-shot-Prophylaxe" unter Berücksichtigung der Risikofaktoren (Alter, Diabetes mellitus usw.) eingesetzt [2,13], ausgenommen von größeren operativen Eingriffen wie z. B. Harnableitungen.…”

Section: Patienten Und Methodenunclassified

Antibiotikainduzierte Diarrhö und pseudomembranöse Enterokolitis

2002

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The spore-forming anaerobic bacterium Clostridium difficile has become a serious enteropathogen. Oral and parenteral administration of antibiotics can cause ecological disturbances in the normal intestinal microflora. Suppression of the normal microflora may lead to reduced colonization resistance with subsequent overgrowth by pre-existing, naturally resistant microorganisms, such as C. difficile. C. difficile infection shows a range of clinical presentations between an asymptomatic carrier state, light diarrhea without inflammatory changes, and pseudomembranous colitis. C. difficile infection is acquired by the fecal-oral or environmental-oral routes. From March 2000 through March 2001 we assessed 48 cases of nosocomial antibiotic-associated diarrhea (AAD). Of these, 21 were due to C. difficile (CDAD). Cephalosporin was the agent most commonly associated with CDAD. Avoidance of cephalosporins, strict use of "single shot" prophylaxis, isolation of infected, symptomatic patients in single-bed rooms, improved hygiene and complete room disinfection lead to a rapid decrease of CDAD. The etiology, prognosis and prophylaxis are discussed in this paper.

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“…Most common pathogenic organisms most likely to produce infections must be targeted when choosing prophylactic antibiotics. Therefore traditional prophylaxis include a parenteral aminoglycoside for Gramnegative and a first-or second generation cephalosporin or vancomycin for Gram-positive organisms coverage (Schwartz et al, 1996;Naber et al, 2001). Schwarz et al found in a randomized prospective trial of 20 patients that oral fluoroquinolone (ofloxacin) administered 2 hours before surgery achieved significantly higher intracavernosal levels and was more cost-effective than the combination of gentamicin and cefazolin (Schwartz et al, 1996).…”

Section: Perioperative Antibiotic Prophylaxismentioning

confidence: 99%