title: [Guidelines from the Infectious Disease Committee of the French Association of Urology and The Neuro-Urology Committee of the AFU: antibiotic prophylaxis for sacral neuromodulation].
abstract: BACKGROUND
  In urology, antibiotic prophylaxis is advised by the French Association of anesthesiology (SFAR) and the Infectious Disease Committee of the French Association of urology guidelines published in 2010. No guideline exists concerning the implantation of neuromodulation implants.
  
  
  METHODS
  A literature analysis was performed on sacral modulation and antibiotic prophylaxis. Then guidelines were discussed by reviewers. Items that showed no consensus were then discussed again to arrive at recommendations.
  
  
  RESULTS
  Antibiotic prophylaxis is recommended during the test phase as well as in the case of installation of sacral neuromodulation (Grade C). Antibiotic recommended (Grade B) are: cefotetan or cefoxitin, 2g dose by slow intravenous injection or amoxicillin-clavulanic acid at a dose of 2 g, intravenously or, in the case of allergy vancomycin at a dose of 15 mg/kg or the clindamycin has 600 mg intravenously.
  
  
  CONCLUSIONS
  Despite the lack of high level of evidence, antibiotic prophylaxis seems necessary when setting up of electrode case of sacral neuromodulation.
authors.affiliation: Service d'urologie, CHU de Bretonneau, 2, boulevard Tonnellé, 37044 Tours, France.
authors.forename: J D
authors.initials: JD
authors.lastname: Doublet
authors.forename: A
authors.initials: A
authors.lastname: Sotto
authors.forename: L
authors.initials: L
authors.lastname: Escaravage
authors.forename: J L
authors.initials: JL
authors.lastname: Vérine
authors.forename: S
authors.initials: S
authors.lastname: Conquy
authors.forename: G
authors.initials: G
authors.lastname: Cariou
authors.forename: P
authors.initials: P
authors.lastname: Coloby
authors.forename: S
authors.initials: S
authors.lastname: Malavaud
authors.forename: J P
authors.initials: JP
authors.lastname: Boiteux
authors.forename: M
authors.initials: M
authors.lastname: Thibault
authors.forename: H
authors.initials: H
authors.lastname: Bugel
authors.forename: X
authors.initials: X
authors.lastname: Gamé
authors.forename: G
authors.initials: G
authors.lastname: Karsenty
authors.forename: A
authors.initials: A
authors.lastname: Ruffion
authors.forename: F
authors.initials: F
authors.lastname: Bruyère
mesh_terms: D019072:Antibiotic Prophylaxis / Q000592:standards*; D004599:Electric Stimulation Therapy; D004567:Electrodes, Implanted; D006801:Humans; D016459:Prosthesis-Related Infections / Q000517:prevention & control*; D014549:Urinary Incontinence / Q000628:therapy; D016055:Urinary Retention / Q000628:therapy
keywords: Antibioprophylaxie; Antibiotic prophylaxis; Neuromodulation des racines sacrées; Sacral neuromodulation