title: Risk of urinary tract infection in patients with positive urine culture and antibiotic therapy undergoing cystoscopy in a third-level hospital.
abstract: The aim of the study was to determine the risk of urinary tract infection (UTI) following rigid cystoscopy in outpatients with positive urine culture and antibiotic treatment compared to outpatients with negative urine culture and without antibiotic prophylaxis. A prospective pilot study in two groups of patients was conducted in a third-level hospital in Cali, Colombia. Group 1 comprised asymptomatic patients with positive urine culture and group 2 were asymptomatic patients with sterile urine. UTI and urosepsis were assessed after seven and 30 days. Eighty-nine patients, 13 from group 1 and 76 from group 2, were followed up in this pilot study. General incidence of UTI at the seventh or 30th day was 4.5% (4/89). There were no statistically significant differences in risk of UTI or urosepsis at the seventh or 30th day between the two groups. The risk of UTI following rigid cystoscopy in outpatients with positive urine culture and antibiotic treatment did not differ significantly from the risk in outpatients with negative urine culture without antibiotic prophylaxis at day 7 and 30.
authors.affiliation: School of Medicine, Faculty of Health, Universidad del Valle, Cali, Colombia.
authors.forename: Kevin
authors.initials: K
authors.lastname: Escandón-Vargas
authors.affiliation: Urology service, Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia.
authors.forename: Herney Andrés
authors.initials: HA
authors.lastname: García-Perdomo
authors.affiliation: Urology service, Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia.
authors.forename: Fernando
authors.initials: F
authors.lastname: Echeverría
authors.affiliation: Urology service, Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia.
authors.forename: José Daniel
authors.initials: JD
authors.lastname: Osorio
mesh_terms: D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019072:Antibiotic Prophylaxis / Q000379:methods; D003105:Colombia / Q000453:epidemiology; D003558:Cystoscopy / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D011446:Prospective Studies; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents