1448 ANTIBIOTIC USE AFTER ROUTINE URETEROSCOPIC STONE TREATMENT

Abstract

You have accessJournal of UrologyStone Disease: SWL, Ureteroscopic or Percutaneous Stone Removal I1 Apr 20101448 ANTIBIOTIC USE AFTER ROUTINE URETEROSCOPIC STONE TREATMENT Michael Kurtz and Brian Eisner Michael KurtzMichael Kurtz More articles by this author and Brian EisnerBrian Eisner More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1162AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Antibiotic resistance is an important public issue which is increasing in prevalence. In particular, fluoroquinolone resistance continues to become more problematic. The AUA guidelines for antibiotic use recommends antibiotic treatment for <24 hours after routine ureteroscopy. We performed this study to examine urologists' compliance with these guidelines. METHODS A nine question online survey was created and was sent to the members of the members of the Endourological Society. Characteristics of the respondents are as follows: One hundred fifty (150) urologists responded to the survey. Years in practice were 1-4 years (16.8%), 5-9 years (20.8%), 10-19 years (30.2%), and 20+ years (32.2%). Practice type was academic (71.3%), Private practice (27.7%), and military (2.7%). RESULTS Mean number of ureteroscopic stone treatments per year was 118 (SD 123). Preoperative antibiotics were given in 97.6% of cases. For uncomplicated ureteroscopy in which a stent with a pull-out string was placed, duration of post-operative antibiotic treatment ranged from 0-7 days. A majority of urologists (69.5%) gave antibiotics for > 24 hours after ureteroscopy (24-47 hours = 7.8%, 48-71 hours = 21.9%, 72-95 hours = 15.6%, 96 hours - 1 week = 15.6%). A minority were compliant with the AUA guidelines (no post-operative antibiotics = 22.7%, < 24 hours = 7.8%). The most common antibiotics prescribed were fluoroquinolones (56.8%), sulfa (13.6%), penicillin/cephalosporin (9.1%), and nitrufurantoin (3.8%). CONCLUSIONS A majority of urologists in this survey do not follow the published AUA antibiotic guildelines when performing uncomplicated ureteroscopy (when leaving stent with pull out string). Post-operative antibiotic treatment exceeded 24 hours in nearly 70% of these cases. Future randomized clinical trials may be useful to determine the true utility (if any) of post-operative antibiotics after ureteroscopy. Boston, MA© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e558 Peer Review Report Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Michael Kurtz More articles by this author Brian Eisner More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...