The role of antibiotics in patients with increased risk of infection during extracorporeal shock wave lithotripsy (eswl) treatment
Abstract
Objective: In this prospective, randomized study, the incidence ot urinary tract infections following extracorporeal shock wave lithotripsy (ESWL) in a high risk population and effectiveness of two different antimicrobial agents were evaluated.
Methods: A total of 56 patients with renal and ureteric stones who had increased risk of infection before ESWL treatment received either 200 mg of Ofloxacin or trimethoprim-sulfamethaxazole (TM+SMZ) 160/400 mg. bid. Patients were followed by simple urine analysis, urine cultures and blood cultures if necessary together with clinical evaluations.
Results: Three patients (5.4%) had positive urine cultures one week after ESWL. The incidence of positive cultures was 40% in patients who had asymptomatic bacteriuria before ESWL.
Conclusion: The urine should be sterilized by appropriate antibiotic administration before initiation of ESWL therapy in patients with bacteriuria to prevent infectious complications.
Keywords
References
- Michaels EK, Fowler JE, Mariano M. Bacteriuria following extracorporeal shock wave lithotripsy of infection stones. J Urol 1988;140:254-256.
Abstract
References
- Michaels EK, Fowler JE, Mariano M. Bacteriuria following extracorporeal shock wave lithotripsy of infection stones. J Urol 1988;140:254-256.
Details
| Subjects | Clinical Sciences |
|---|---|
| Journal Section | Review Makaleler |
| Authors | |
| Publication Date | October 1, 1996 |
| Published in Issue | Year 1996 Volume: 9 Issue: 4 |