1 / 11

Incidence of urinary tract infections following flexible cystoscopy . A prospective study.

Omer Baldo , Hassan Khan, Philip Koenig, Nick Shaikh Department of Urology Airedale General Hospital. Incidence of urinary tract infections following flexible cystoscopy . A prospective study. Background. Increasing incidence of global antimicrobial resistance

dalton-nielsen
Télécharger la présentation

Incidence of urinary tract infections following flexible cystoscopy . A prospective study.

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Omer Baldo, Hassan Khan, Philip Koenig, Nick Shaikh Department of Urology Airedale General Hospital. Incidence of urinary tract infections following flexible cystoscopy. A prospective study.

  2. Background • Increasing incidence of global antimicrobial resistance • Urology as a speciality by its nature uses antibiotics with some liberty • The annual European Antibiotic Awareness Day (EAAD) campaign in England this year will highlight the need to 'Start Smart-Then Focus • The aim is that patients receiving antibiotics should receive the right drug at the right time at the right dose for the right duration

  3. Introduction • Flexible cystoscopy is the commonest intervention performed by Urologists • Local issue with high rate of pseudomonas UTI • On going debate about the use of antibiotics prior to cystoscopy¹ 1. Neal D et al BJUI 2007 Oct;100 (4) 826-9

  4. Patients and Methods • Prospective audit at single Unit • Over 26 months – Jan. 2009 to Mar. 2011 • In collaboration with Microbiology unit • 2 urine samples collected • Immediately pre procedure • 3 days post procedure

  5. Results – 1 • 1089 patients included • Mean age 67.9yrs (± 16) • Total samples collected 1811 • 367 post cystoscopy samples NOT submitted

  6. Results – 2 • Overall rate of UTI 8.5 % • Rate of UTI pre cystoscopy 6.2% • Incidence of UTI excluding missing samples 10.2%

  7. Rate of UTI in all groups

  8. Uropathogens Isolated

  9. Published Data Authors Journal No. Rate of UTI • Neal et al BJUI 2007 2481 9% • Burke et al BJUI 2002 420 2.7% • Almallah et al Urology 2000 215 4.5% • Clark et al BJUI 1990 164 7.5%

  10. Conclusion • UTI rate post outpatient cystoscopy is low • Prophylactic antibiotics are unnecessary • Prophylactic antibiotics should be used if approriate • Beware of the margarine container!!

  11. Thank You • All our patients • Dr Paul Godwin – Consultant Microbiologist • All day case staff

More Related