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dc.contributor.authorDaggamseh, Abdallah
dc.contributor.authorDickinson, Andrew
dc.contributor.authorCampain, Nicholas
dc.contributor.authorLongshaw, Anna
dc.contributor.authorMaccormick, Andrew
dc.contributor.authorMiller, Catherine
dc.date.accessioned2022-04-21T09:39:56Z
dc.date.available2022-04-21T09:39:56Z
dc.date.issued2022-03-25
dc.identifier.doi10.1177/20514158211073444
dc.identifier.urihttps://rde.dspace-express.com/handle/11287/622438
dc.description.abstractObjective:This study aims to assess whether the rate of readmissions after ureterorenoscopy (URS) is dependent on results of urine microscopy, culture and sensitivity (MC&S) or nitrite dipstick test performed before the procedure.Patients and Methods:All patients attending for ureteroscopy for stone disease over 12 months were included and had urine dipstick performed immediately prior to the surgery with mid-stream urine (MSU) sample sent for culture. Asymptomatic bacteriuria (ABU) was not treated before ureteroscopy. All included patients received standard antibiotic prophylaxis. Readmissions within 30 days of the procedure were evaluated.Results:A total 120 ureteroscopies were included, of which 20% had ABU. Eight patients (6.67%) were readmitted due to all procedure-related complications; among them, five (4.17%) were readmitted with urinary tract infection (UTI). Readmission rates with UTIs were similar for patients with sterile urine and those who had untreated ABU. Of those patients who were readmitted with UTI, all had a negative nitrite result on preoperative urine dipstick specimens. Most patients (54.17%) who had ABU also had a negative urinary nitrite test.Conclusions:Screening and routine treatment of ABU before ureteroscopy for urolithiasis may be unnecessary provided patients have standard antibiotic prophylaxis. Moreover, urine nitrite testing before ureteroscopy may not be a useful screening test for ABU before ureteroscopy.Level of evidence:2
dc.language.isoeng
dc.publisherSage
dc.relation.urlhttps://journals.sagepub.com/doi/abs/10.1177/20514158211073444
dc.rights© 2022, © SAGE Publications
dc.rights.urihttp://creativecommons.org/publicdomain/zero/1.0/
dc.subjectUreteroscopy,asymptomatic bacteriuria,antibiotic prophylaxis,urolithiasis,antimicrobial stewardship,antimicrobial resistance,endourology
dc.titleEffect of asymptomatic bacteriuria on readmissions and rate of urosepsis after ureterorenoscopy for urolithiasis
dc.typeResearch Article
dc.identifier.journalJournal of Clinical Urology
dc.description.noteThe article is available via Open Access. Click on the 'Additional link' above to access the full-text.
dc.type.versionepublish
dc.description.admin-notePublished version, accepted version
dc.citation.volume0
dc.citation.issue0
dc.citation.spage2.05E+16


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