进行尿液培养的成本效益微分析,作为减少灵活囊镜后尿症的手段:两个中心之间的比较研究
Adib Rahman1,2, Matthew Qiu3, Kapilan Ravichandran1
1Department of Urology, Toowoomba Base Hospital, Queensland Health, Queensland, Australia.
Translational andrology and urology
|April 14, 2025
概括
灵活囊泡镜的常规预程序尿液培养不会降低尿液感染率和增加成本. 囊镜检查后尿道的发病率低,并不证明这种做法是合理的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 卫生经济学 卫生经济学
- 预防传染病 预防传染病
背景情况:
- 柔性囊镜是澳大利亚常见的泌尿器科手术.
- 潜在的风险包括泌尿道感染和尿,导致大量的医疗保健费用.
- 这项研究调查了手术前尿液培养的成本效益,以减轻这些风险.
研究的目的:
- 评估术前尿液培养在预防囊镜后尿液的疗效.
- 评估常规尿液培养与没有培养的经济影响.
- 确定当前的指导方针是否与临床和经济证据保持一致.
主要方法:
- 对来自澳大利亚两家医院的患者数据的回顾性分析.
- 在有或没有常规手术前尿液培养的中心之间比较尿发病率和相关成本.
- 统计分析尿液感染率和成本效益.
主要成果:
- 在手术后,泌尿突发症的发病率非常低,为0.03%.
- 在手术前的尿液培养没有显著降低尿症的发生率 (P=0.93).
- 执行例行培养的中心承担了更高的成本 (每名患者26.14美元).
结论:
- 尿道的发病率很低,因此不需要在手术前进行常规的尿液培养.
- 常规培养在柔性囊囊镜检查中成本效益不高.
- 这些发现支持现有的指导方针,反对程序前的常规尿液培养,因为缺乏证明的益处.
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