Related Experiment Video

Updated: Jan 13, 2026

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection
05:32

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Published on: September 21, 2015

33.6K

Current practice in perioperative antibiotic prophylaxis for clean surgical procedures among pediatric urologists

Sophie Bouldoukian1, Claudia Berrondo2

  • 1University of Nebraska Medical Center, College of Medicine, 4400 Emile St, Omaha, NE, 68198, USA.

Journal of Pediatric Urology
|October 29, 2025
PubMed

Insights

Pediatric urologists show varied surgical antibiotic prophylaxis (SAP) practices despite awareness of 2019 guidelines. Further research is needed for antimicrobial stewardship in pediatric urology.

Area of Science:

  • Pediatric Urology
  • Antimicrobial Stewardship
  • Surgical Site Infections

Background:

  • Surgical site infections (SSIs) are potential complications in pediatric urologic surgery.
  • Surgical antibiotic prophylaxis (SAP) reduces SSIs but may be unnecessary for Class I/Clean cases.
  • The 2019 American Urological Association (AUA) Best Practice Statements (BPS) updated guidelines on antimicrobial prophylaxis for urologic procedures.

Purpose of the Study:

  • To evaluate current SAP practices for Class I procedures among pediatric urologists.
  • To assess the impact of the 2019 AUA BPS update on clinical practice.

Main Methods:

  • An anonymous cross-sectional survey was distributed to members of the Societies for Pediatric Urology (SPU).
  • Survey data included provider demographics, factors influencing antibiotic use, procedure-specific practices, and awareness/adoption of the 2019 AUA BPS update.

Main Results:

  • 79% of respondents were aware of the 2019 AUA BPS update, but only 37% modified their practice.
  • Prophylactic antibiotic use varied significantly by procedure, from 3% (meatotomy, circumcision) to 39-48% (laparoscopic surgeries, testicular torsion exploration).
  • National guidelines, personal experience, and Tanner stage influenced practice patterns; 21% believed prophylaxis contributes to antibiotic resistance.

Conclusions:

  • Pediatric urologists' SAP practices remain variable despite widespread awareness of the 2019 AUA BPS update.
  • Further efforts are required to promote evidence-based antimicrobial stewardship in pediatric urology.
  • Continued research is essential to optimize antibiotic use and combat resistance.
Abstract

Keywords:
Practice patternsSocieties for pediatric urology (SPU)Surgical antibiotic prophylaxis (SAP)SurveyWound class I

More Related Videos

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA12:18

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA

Published on: February 9, 2011

23.6K
Vessel-sparing Excision and Primary Anastomosis08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

12.0K

Related Concept Videos

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
246
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
207
Standard Precaution01:26

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.7K
Hand hygiene01:23

Hand hygiene

Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
5.5K
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.6K
Asepsis01:28

Asepsis

The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
3.0K