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Commentary to pyeloplasty with ureteral stent placement in children: Do prophylactic antibiotics serve a purpose?

      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 [
      • 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.
      ].
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      References

        • 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
        • Ben-meir D.
        • Golan S.
        • Ehrlich Y.
        • Livne P.M.
        Characteristics and clinical significance of bacterial colonization of ureteral double stents in children.
        J Pediatr Urol. 2009; 5: 355-358
        • Zumstein V.
        • Betschart P.
        • Albrich W.C.
        • Buhmann M.T.
        • Ren Q.
        • Schmid H.P.
        • Abt D.
        Biofilm formation on ureteral stents- Incidence, clinical impact and prevention.
        Swiss Med Wkly. 2017; 3: w14408

      Linked Article

      • Pyeloplasty with ureteral stent placement in children: Do prophylactic antibiotics serve a purpose?
        Journal of Pediatric UrologyVol. 18Issue 6
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          Ureteral 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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