In this article the rate of UTI in children given prophylactic antibiotics after a
stented pyeloplasty is compared to those who were stented and did not receive prophylaxis.
The authors show through a large multi-center study that prophylactic antibiotics
did not decrease stent associated UTI. This paper is timely as clinicians are acutely
aware of the need for increased antibiotic stewardship. In addition, by decreasing
the use of antibacterial prophylaxis surgeons can positively impact heath care costs.
Given the above it is disconcerting that nearly 70% of pediatric urologists prescribe
antibiotic prophylaxis after a stented pyeloplasty, even when the literature regarding
prophylaxis has demonstrated no benefit [
[1]
].- Vidovic S.
- Hayes T.
- Fowke J.
- Cline J.K.
- Cannon G.
- Colaco M.A.
- et al.
Pyeloplasty with ureteral stent placement in children: do prophylactic antibiotics
serve a purpose.
J Pediatr Urol. 2022; (D-22-00077)https://doi.org/10.1016/j.jpurol.2022.03.022
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References
- Pyeloplasty with ureteral stent placement in children: do prophylactic antibiotics serve a purpose.J Pediatr Urol. 2022; (D-22-00077)https://doi.org/10.1016/j.jpurol.2022.03.022
- Characteristics and clinical significance of bacterial colonization of ureteral double stents in children.J Pediatr Urol. 2009; 5: 355-358
- Biofilm formation on ureteral stents- Incidence, clinical impact and prevention.Swiss Med Wkly. 2017; 3: w14408
Article info
Publication history
Published online: May 07, 2022
Accepted:
April 11,
2022
Received:
April 6,
2022
Identification
Copyright
© 2022 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Pyeloplasty with ureteral stent placement in children: Do prophylactic antibiotics serve a purpose?Journal of Pediatric UrologyVol. 18Issue 6
- PreviewUreteral stents are commonly used during pyeloplasty to ensure drainage and anastomotic healing. Antibiotic prophylaxis is often used due to concerns for urinary tract infection (UTI). Although many surgeons prescribe prophylactic antibiotics following pyeloplasty, practices vary widely due to lack of clear evidence-based guidelines. We hypothesize that the rate of stent UTI does not significantly vary between children who receive antibiotics and those who do not.
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