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The issue of prophylactic antibiotics prior to flexible cystoscopy
European Urology
|February 27, 2001
Abstract
Objective:
The aim of this study was to determine whether single-dose parenteral antibacterial therapy significantly alters the rate of infection in patients undergoing flexible cystourethroscopy.
Patients And Methods:
162 patients were studied prospectively having either received parenteral antibacterial chemoprophylaxis prior to flexible cystourethroscopy or not. Pre- and postprocedure mid stream samples of urine (MSSU) were obtained to objectively evaluate the presence of infection.
Results:
Gentamicin prophylaxis reduced the rate of post-cystoscopy-positive MSSUs from 21 to 5%.
Conclusion:
The surprisingly high rate of infection after flexible cystoscopy was significantly reduced by a single dose of gentamicin.