The role of antibiotics in patients with increased risk of infection during extracorporeal shock wave lithotripsy (eswl) treatment

Yıl 1996, Cilt: 9 Sayı: 4, 174 - 177, 01.10.1996

Y. İlker L. N. Türkeri V. Korten T. Tercan H. Özveri F. Şimşek A. Akdaş

Öz

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.

Anahtar Kelimeler

Lithotripsy, Infection, Risk Factors, Antibiotics

Kaynakça

• Michaels EK, Fowler JE, Mariano M. Bacteriuria following extracorporeal shock wave lithotripsy of infection stones. J Urol 1988;140:254-256.