Urinary tract infection after voiding cystourethrogram

Johnson, Emilie K.; Malhotra, Neha; Shannon, Rachel; Jacobson, Deborah L.; Green, J.; Rigsby, Cynthia K.; Holl, Jane L.; Cheng, Earl Y.

doi:10.1016/j.jpurol.2017.04.018

Cited by 24 publications

(23 citation statements)

References 17 publications

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“…The incidence of post-cystography UI found in this study was 4.3%, which is in agreement with the results of more recent studies, presenting values between 0 and 16%. 2 , 4 , 5 , 6 , 7 , 8 Older articles referring to the 1970s present higher incidence rates, of up to 30%. 9 , 10 …”

Section: Discussionmentioning

confidence: 99%

“…Routine urine analysis and posterior urine culture were performed for all patients who, in the referred period, presented with symptoms that suggested UI (fever, irritability, vomit, dysuria, pollakiuria). UI was defined as the presence of suggestive clinical symptoms, characteristic routine urine analysis and positive urine culture (the following bacterial counts were considered: if suprapubic aspiration, any growth; if bladder catheterization, presence of ≥5 4 of colony forming units/mL; if mid-stream urine collection , presence of ≥10 5 of colony forming units /mL). In 100% of the children, urine culture was carried out up to 36 hours before the examination, which was negative in all cases.…”

Section: Methodsmentioning

confidence: 99%

“…The existing studies on the incidence of UI associated with this test are scares and have very different methodologies, since incidence ranges between 0 and 30%. 2 , 4 , 5 , 6 , 7 , 8 , 9 , 10 The objective of this study was to assess the incidence of post-cystography UI in the ediatric population.…”

Section: Introductionmentioning

confidence: 99%

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Incidence of Urinary Tract Infection After Cystography

Martins

Pinto

Braga

et al. 2021

Rev. paul. pediatr.

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Objective: Cystography an invasive procedure with potential complications such as urinary infection (UI). There are few studies about the incidence of complications associated with this procedure. The purpose of this study is to evaluate the incidence of post-cystography urinary infection (UI.). Methods: Retrospective study with a review of clinical records of patients under 15 years of age, followed in this hospital, who underwent cystography (radiologic or indirect radionuclide) between 2009 and 2018. Post-cystography UI was defined when it occurred until seven days after the procedure. Descriptive and nonparametric statistics were applied to assess possible predictive factors related with post-cystography UI. Results: In the study period, 531 cystograms were undertaken (55% indirect radionuclide and 45% radiologic). The mean age at the procedure was 11.5 months; 62% were boys. Every patient had a previous negative urine culture; 50% were under antibiotic prophylaxis at the time of the procedure. The most common indication for the procedure was the post-natal study of congenital hydronephrosis/other nephrological malformation (53%), followed by the study of febrile UI (31%). Vesicoureteral reflux (VUR) was diagnosed in 40% of procedures. Post-cystography UI occurred in 23 cases (incidence of 4.3%). The most frequent microorganism was E. coli (52%). The presence of VUR was significantly associated with the occurrence of post-cystography IU. Conclusions: The incidence of post-cystography UI was low in our sample. The presence of VUR was significantly associated with the occurrence of post-cystography UI. The authors highlight the importance of an adequate catheterization technique and the need for clinical surveillance after the procedure.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Incidence of Urinary Tract Infection After Cystography

Martins

Pinto

Braga

et al. 2021

Rev. paul. pediatr.

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“…A 1% risk of post‐VCUG UTI was reported for children with congenital urological anomalies, such as VUR or hydronephrosis. Particular care needs to be taken with VUR and/or hydronephrosis patients when carrying out VCUG . Urosepsis and death as a result of VCUG‐related UTI has been anecdotally reported .…”

Section: Complications Of Vcugmentioning

confidence: 99%

“…Particular care needs to be taken with VUR and/or hydronephrosis patients when carrying out VCUG. 45 Urosepsis and death as a result of VCUG-related UTI has been anecdotally reported. 46 Several cases of iatrogenic bladder rupture after VCUG have also been reported when using indwelling Foley catheters and contrast medium instilled manually using a syringe.…”

Section: Complications Of Vcugmentioning

confidence: 99%

Pediatric voiding cystourethrography: An essential examination for urologists but a terrible experience for children

et al. 2018

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Voiding cystourethrography is the most important fluoroscopic examination in pediatric urology for the investigation of lower urogenital tract diseases, such as vesicoureteral reflux or urethral stricture. However, this invasive procedure imposes a significant burden on children and their parents, and recently there has been a paradigm shift in the diagnosis and treatment of vesicoureteral reflux. In the 2011 revision, the American Academy of Pediatrics guidelines on urinary tract infection recommended abandoning routine voiding cystourethrography after the first febrile urinary tract infection. In 2014, the randomized intervention for children with vesicoureteral reflux study recommended discontinuation of routine continuous antibiotic prophylaxis for vesicoureteral reflux. The time is now ripe to radically reconsider indications for voiding cystourethrography and the procedure itself.

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