Pediatric Urodynamic Study Without a Preprocedural Urine Culture, Is It Safe in Clinical Practice?
| Autor: | Yesica Gomez, Cristian Sager, Felicitas Lopez Imizcoz, Santiago Weller, Javier Ruiz, Carol Burek, Juan Pablo Corbetta, María Tatiana Szklarz, Catalina Tessi, Mariana Vasquez Patiño |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Urology 030232 urology & nephrology Urine Urinalysis urologic and male genital diseases Single Center 03 medical and health sciences 0302 clinical medicine Primary outcome Internal medicine Medicine Humans Prospective Studies Prospective cohort study Child business.industry Incidence (epidemiology) Incidence Diagnostic Techniques Urological Clinical Practice Urodynamics 030220 oncology & carcinogenesis Urinary Tract Infections Uti symptoms Female business Clinical record |
| Zdroj: | Urology. 145 |
| ISSN: | 1527-9995 |
| Popis: | To prove that incidence of UTI after a pediatric urodynamic study (UDS) is low, and that patients without urine culture (UC) analysis prior to a UDS will not have a significant increase in the incidence of UTI (post-UDS UTI).Prospective cohort study including consecutive pediatric patients undergoing UDS in a single center for 1 year. Patients were divided in 2 groups: (G1) UDS with a previous negative UC and (G2) UDS without a previous UC analysis. A clean UC was obtained in all patients at the moment of the UDS (UDS-UC). Primary outcome was post-UDS UTI. Secondary outcome was to compare UC cost per patient and cancellation rates in each group. All patients were followed 15 days after the UDS to detect onset of UTI symptoms.Four hundred two patients were included, 198 patients in G1 and 204 patients in G2. Median age was 9 years old. Both groups were similar in terms of demographic and clinical records data except for a proportion of patients on CIC which was larger in G2 (P.008). Overall incidence of post-UDS UTI was 0.7% (3/402), G2 incidence (0.98%) being slightly higher than G1 (0.50%; P.58). UDS-UC was positive in 32% of G1 vs 55% in G2 (P.001). About 98% of patients with positive UDS-UC did not progress to symptomatic UTI. G1 cost was 140% higher than G2.Overall incidence of post-UDS UTI is low (0.7%). Patients without UC prior to UDS did not have a significant increase in post-UDS UTI. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect