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Published on: August 9, 2012
Prospective evaluation of antibiotic prophylaxis prior to cystometrogram and/or cystogram studies: oral versus
G W Fried1, G Goetz, S Potts-Nulty
1Magee Rehabilitation Hospital, Philadelphia, PA 19102-1177, USA.
Objective:
To compare empiric single-dose gentamicin versus culture-specific oral antibiotics as prophylaxis before cystometrogram and/or cystogram. Comparisons with regards to infection, patient preference, and cost were made.
Design:
Prospective randomized control trial.
Setting:
Inpatient and outpatient rehabilitation hospital.
Patients:
Seventy received oral antibiotics and 72 received intramuscular gentamicin.
Intervention:
Cystometrograms and/or cystograms were performed.
Main Outcome Measure:
Patient interviewed and chart reviewed for infection. Convenience and comfort were rated by patient.
Results:
Oral antibiotics and gentamicin have similar efficacy. Patients rated the gentamicin more convenient (p < .001) and comfortable (p < .01) than oral antibiotics. Gentamicin is less expensive.
Conclusion:
Gentamicin should be used as the method of choice for cystometrogram/cystogram prophylaxis.
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