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Lewis symbols can be used to indicate the formation of covalent bonds, which are shown in Lewis structures—drawings that describe the bonding in molecules and polyatomic ions. The periodic table can be used to predict the number of valence electrons in an atom and the number of bonds that will be formed to reach an octet. Group 18 elements, such as argon and helium, have filled electron configurations and thus rarely participate in chemical bonding. However, atoms from group 17, such as...
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[Antibiotic prophylaxis in urodynamics: Clinical practice guidelines using a formal consensus method].

C Egrot1, A Dinh2, G Amarenco3

  • 1Service d'urologie, université Paris-7, hôpital Bichat Claude-Bernard, AP-HP, 46, rue Henri-Huchard, 75018 Paris, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|December 4, 2018
PubMed
Summary
This summary is machine-generated.

Antibiotic prophylaxis before urodynamic studies (UDS) is guided by urine culture results and patient risk factors for urinary tract infection (UTI). Guidelines recommend targeted prophylaxis only when necessary, aiming to reduce antibiotic exposure.

Keywords:
AntibioprophylaxieAntibiotic prophylaxisBacteriuriaBactériurieBilan urodynamiqueGuidelinesInfection urinaireInfective riskRecommandationsRisque infectieuxUrinary tract infectionUrodynamic studies

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Area of Science:

  • Urology
  • Infectious Disease Prevention
  • Clinical Practice Guidelines

Background:

  • Urodynamic studies (UDS) can pose a risk of urinary tract infection (UTI).
  • Current practices for antibiotic prophylaxis before UDS vary, leading to potential overuse of antibiotics.

Purpose of the Study:

  • To establish evidence-based clinical practice guidelines for antibiotic prophylaxis in urodynamics.
  • To harmonize clinical practices and minimize unnecessary antibiotic exposure.

Main Methods:

  • Formal consensus method involving multidisciplinary expert groups.
  • Guidelines developed by a pilot group, rated by a panel of 12 experts, and peer-reviewed by a separate group.

Main Results:

  • Urine culture with susceptibility testing is recommended before UDS.
  • Risk factors for post-UDS UTI include age >70, recurrent UTI, and high post-void residual volume.
  • Antibiotic prophylaxis is optional if urine culture is negative but risk factors are present; fosfomycin-tromethamine is recommended.
  • UTI before UDS requires treatment and postponement of the procedure.
  • No changes needed for patients with hip/knee replacement or for bacterial endocarditis prophylaxis.

Conclusions:

  • New guidelines aim to standardize antibiotic prophylaxis for UDS.
  • Implementation of these guidelines will help limit patient exposure to antibiotics.