E-Posters-Do Prophylactic Antibiotics Reduce the Risk of Urinary Tract Infections in Office Catheterizations?

Do Prophylactic Antibiotics Reduce the Risk of Urinary Tract Infections in Office Catheterizations? - Shaun Adair, MD

Pdf Summary

This study aimed to determine if prophylactic, one-time use of antibiotics at the time of in-office straight catheterization reduces the risk of urinary tract infections (UTIs) in urogynecology patients compared to those who did not receive antibiotics. The study was conducted between January 2017 and June 2018 and included 662 patient encounters. Out of these, 181 charts were included for analysis: 73 patients received antibiotics after catheterization, and 108 patients did not receive antibiotics. <br /><br />The demographics of the two groups were similar, except for race, with the control group having a higher proportion of Caucasian women. The UTI rate was 4.6% in the control group and 0% in the antibiotic group, although this difference was not statistically significant. Additionally, post void residual volumes were not related to the incidence of UTIs. <br /><br />The study concluded that there was a trend toward higher rates of UTIs when not using prophylactic antibiotics at the time of straight catheterization, but this trend was not statistically significant. Ultimately, the study did not provide strong evidence for or against the use of prophylactic antibiotics in reducing the risk of UTIs in office catheterizations.<br /><br />These findings indicate the need for further research to establish clearer guidelines regarding the use of antibiotics in preventing UTIs during office catheterizations.

Keywords

prophylactic antibiotics

in-office straight catheterization

urinary tract infections

urogynecology patients

one-time use

risk reduction

demographics

race

UTI rate

post void residual volumes