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Disinfecting effect of a disposable lubricant during cystoscopy
R J Scholtmeijer1, G Dzoljic-Danilovic
1Department of Pediatric Urology, Sophia Children's Hospital, Rotterdam, The Netherlands.
Insights
Instillagel, a lubricant used during cystoscopy in children, demonstrated significant disinfecting properties for the urethra. Post-procedure cultures showed a reduction or elimination of bacteria, indicating its effectiveness in preventing infection.
Area of Science:
- Pediatric Urology
- Infectious Disease Prevention
- Medical Device Efficacy
Background:
- Urinary tract infections are a concern following pediatric cystoscopy.
- Lubricants used during procedures may influence post-operative bacterial load.
Purpose of the Study:
- To evaluate the disinfecting effect of Instillagel during pediatric cystoscopy.
- To assess the impact of Instillagel on urethral and urine bacterial counts.
Main Methods:
- Bacteriologic cultures of the urethra before and after cystoscopy in 100 children.
- Urine cultures obtained during and after the procedure.
- Analysis of bacterial reduction and sterile culture rates.
Main Results:
- 75% of initial urethral cultures were positive; 46 showed sterile cultures post-Instillagel, and 20 had reduced bacteria.
- 2 of 92 initially sterile urine cultures were contaminated immediately post-procedure.
- 5 children developed infected urine several weeks later.
Conclusions:
- Instillagel exhibits a beneficial disinfecting effect on the pediatric urethra during cystoscopy.
- The lubricant aids in reducing bacterial presence, potentially lowering infection risk.
Abstract:
To study the disinfecting effect of the lubricant Instillagel for the urethra in children, bacteriologic tests of the urethra were performed immediately before and after cystoscopy in 100 children. In addition urine cultures were taken during and after cystoscopy. The culture of the urethra before cystoscopy was positive in 75 children. For 46 of these children the second culture after cystoscopy plus Instillagel appeared to be sterile while in 20 children a considerable reduction in the number of bacteria was found. Out of 92 children with an initially sterile urine culture, the culture of the urine voided immediately after the cystoscopy appeared to be contaminated in 2 while several weeks later an infected urine was found in 5 children. From this study we may conclude that during cystoscopy Instillagel has a good disinfecting effect for the urethra in children.