Volume 3, Issue 2 (Fall & Winter 2019)
J Res Urol 2019, 3(2): 49-56 |
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Mirzaei M, Daneshpajooh A, Pakmanesh H, Parsa M E. Evaluation of the Effect of Single Dose of Prophylactic Ciprofloxacin Before Simple Cystourethroscopy on the Incidence of Urinary Tract Infection: A Randomized Clinical Trial. J Res Urol 2019; 3 (2) :49-56
URL: http://urology.umsha.ac.ir/article-1-65-en.html
URL: http://urology.umsha.ac.ir/article-1-65-en.html
1- Kerman University of Medical Sciences (KMU), Kerman, Iran
2- Kerman University of Medical Sciences (KMU), Kerman, Iran , h_pakmanesh@kmu.ac.ir
2- Kerman University of Medical Sciences (KMU), Kerman, Iran , h_pakmanesh@kmu.ac.ir
Abstract: (3254 Views)
Introduction: The assumed necessity of antimicrobial prophylaxis prior to simple cystoscopy is controversial. The aim of this study is to determine whether antibiotic prophylaxis is required before this outpatient procedure.
Methods: A total of 162 patients with mean age of 51 years old (range: 12–82 years old) were recruited. They were randomized into two groups: First group did not receive antibiotics (81 patients) and the other group received prophylactic antibiotic before the operation (81 patients with a single dose of ciprofloxacin 500 mg). All patients underwent a diagnostic rigid cystoscopy. 48-72 hours following the operation, urine cultures were taken from all of patients. Further, patients were questioned about newly developed symptoms like dysuria, frequency, urgency and fever after cystoscopy.
Results: Bacteriuria was present in 2/46% of the patients in Group that receive antibiotic, compared to 4/93% in Group that did not receive antibiotic (P = 0/27). Multivariate analysis in two groups showed that positive bacteriuria was not associated with gender (P =0/12), but there was association for older than 60 years age (P = 0/03) as well as cigarette smoking (P = 0/04).
Conclusion: The incidence of the urinary tract infection is not increased without using prophylactic antibiotics.
Methods: A total of 162 patients with mean age of 51 years old (range: 12–82 years old) were recruited. They were randomized into two groups: First group did not receive antibiotics (81 patients) and the other group received prophylactic antibiotic before the operation (81 patients with a single dose of ciprofloxacin 500 mg). All patients underwent a diagnostic rigid cystoscopy. 48-72 hours following the operation, urine cultures were taken from all of patients. Further, patients were questioned about newly developed symptoms like dysuria, frequency, urgency and fever after cystoscopy.
Results: Bacteriuria was present in 2/46% of the patients in Group that receive antibiotic, compared to 4/93% in Group that did not receive antibiotic (P = 0/27). Multivariate analysis in two groups showed that positive bacteriuria was not associated with gender (P =0/12), but there was association for older than 60 years age (P = 0/03) as well as cigarette smoking (P = 0/04).
Conclusion: The incidence of the urinary tract infection is not increased without using prophylactic antibiotics.
Type of Study: Research |
Subject:
Endourology
Received: 2019/08/9 | Accepted: 2019/12/22 | Published: 2020/06/26
Received: 2019/08/9 | Accepted: 2019/12/22 | Published: 2020/06/26
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