Abstract
Patients undergoing THA/TKA were screened pre- & postoperatively with urinalysis (UA) including urine dipstick & microscopy. We hypothesized that: 1) many patients without evidence of urinary tract infection (UTI) receive antibiotics if clinicians base treatment on UA results alone; 2) a protocol for screening patients for UTI would decrease treatment for UTI without increasing surgical site infection (SSI) rates.
Highlights
Patients undergoing THA/TKA were screened pre- & postoperatively with urinalysis (UA) including urine dipstick & microscopy
We conducted a retrospective cohort study of 200 consecutive patients undergoing THA/TKA from 2/21 - 6/30/ 2011 & a prospective cohort study of 50 patients undergoing these procedures from 5/21 - 7/17/2012 to identify factors influencing treatment for UTIs
We conducted a before-after study to assess the outcome of implementing a screening protocol
Summary
Patients undergoing THA/TKA were screened pre- & postoperatively with urinalysis (UA) including urine dipstick & microscopy. We hypothesized that: 1) many patients without evidence of urinary tract infection (UTI) receive antibiotics if clinicians base treatment on UA results alone; 2) a protocol for screening patients for UTI would decrease treatment for UTI without increasing surgical site infection (SSI) rates
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