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https://www.readbyqxmd.com/read/29886771/early-versus-delayed-removal-of-indwelling-catheters-in-patients-after-elective-cesarean-section-a-prospective-randomized-trial
#1
Alper Basbug, Alpaslan Yuksel, Aşkı Ellibeş Kaya
PURPOSE: We conducted a prospective randomized controlled trial to compare postoperative urinary catheter removal 2 versus 12 h after elective cesarean section in terms of irritative symptoms, first void time, incidence of urinary tract infection, postoperative mobilization time, and hospitalization time. METHODS: A total of 134 women admitted to Duzce University Hospital for primary or recurrent elective cesarean section were randomized into two groups. A total of 62 women were enrolled in the early group, with indwelling catheter removal 2 h after cesarean section; 74 women were enrolled in the delayed group, with catheter removal 12 h after cesarean section...
June 10, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29869506/-vaginal-reconstruction-for-the-remedy-of-pelvic-organ-prolapse-the-effect-influence-on-urinary-and-sexual-function-and-quality-of-life-in-two-years-follow-up-part-ii-urinary-tract-function-and-complications
#2
I Čadková, I Huvar
OBJECTIVE: To evaluate the effect, risks and benefits of vaginal reconstruction surgery for pelvic organ prolapse (POP). This article (part II of the study) focuses on the urinary tract. DESIGN: Clinical prospective non-randomized trial, two years follow-up. SETTING: Obstetrics and Gynecology Department, Merciful Brothers Hospital, Brno. MATERIALS AND METHODS: The cohort consisted of 410 women who underwent anterior and/or posterior vaginal repair in our hospital in the period from 1...
2018: Ceská Gynekologie
https://www.readbyqxmd.com/read/29848057/prediction-of-bacteriuria-based-on-clinical-or-laboratory-parameters-in-patients-with-indwelling-ureteral-stents-prior-to-ureterorenoscopy-should-not-substitute-for-urine-cultures
#3
Annina Weber, Valentin Zumstein, Patrick Betschart, Werner C Albrich, Oliver Nolte, Daniel Engeler, Hans-Peter Schmid, Sabine Güsewell, Dominik Abt
Objectives Urine cultures prior to secondary ureterorenoscopy are recommended to exclude bacteriuria but results are often pending on the day of surgery. We sought to develop predictive models that reliably indicate the absence of bacteriuria in patients with indwelling ureteral stents based on readily available data. Patients and Methods Records of patients undergoing secondary ureterorenoscopy between 2014 and 2017 were assessed retrospectively. Patient characteristics, automated urinary sediment analysis, blood analyses and results of urine cultures were analyzed using descriptive statistics, ROC curves, logistic regression and model selection...
May 31, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29804552/modified-reporting-of-positive-urine-cultures-to-reduce-inappropriate-treatment-of-asymptomatic-bacteriuria-among-nonpregnant-noncatheterized-inpatients-a-randomized-controlled-trial
#4
Peter Daley, David Garcia, Raheel Inayatullah, Carla Penney, Sarah Boyd
DESIGNWe conducted a randomized, parallel, unblinded, superiority trial of a laboratory reporting intervention designed to reduce antibiotic treatment of asymptomatic bacteriuria (ASB).METHODSResults of positive urine cultures from 110 consecutive inpatients at 2 urban acute-care hospitals were randomized to standard report (control) or modified report (intervention). The standard report included bacterial count, bacterial identification, and antibiotic susceptibility information including drug dosage and cost...
May 28, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29789958/prosthetic-joint-infections-an-update
#5
REVIEW
C L Abad, A Haleem
PURPOSE OF REVIEW: Prosthetic joint infection (PJI) is a rare but serious complication that is frequently misdiagnosed. We aimed to highlight the nuances of PJI diagnosis and antimicrobial therapies and provide clarity in key areas of management. RECENT FINDINGS: Current research in PJI centers on a potential role for diagnostic biomarkers, molecular techniques, and implant sonication to reduce culture-negativity rates. The optimal duration of antimicrobial therapy remains controversial...
May 22, 2018: Current Infectious Disease Reports
https://www.readbyqxmd.com/read/29785658/incidence-and-risk-factors-for-positive-urine-culture-at-the-time-of-pediatric-urologic-surgery
#6
Michael A Maccini, David J Chalmers, Vijaya M Vemulakonda, Jeffrey B Campbell
PURPOSE: Urinary tract infections are relatively common in pediatric patients. Unrecognized bacteriuria at the time of urologic surgery puts patients at increased risk for perioperative complications. Many pediatric urologists obtain preoperative or intraoperative urine cultures prior to surgery, but data are lacking regarding rates and risk factors for positive intraoperative urine cultures. We conducted a retrospective cohort study of patients undergoing pediatric urologic surgery to examine factors associated with positive intraoperative urine cultures...
May 21, 2018: International Urology and Nephrology
https://www.readbyqxmd.com/read/29780414/antibiotic-prophylaxis-with-trimethoprim-sulfamethoxazole-versus-no-treatment-after-mid-to-distal-hypospadias-repair-a-prospective-randomized-study
#7
Elizabeth B Roth, John V Kryger, Charles T Durkee, Melissa A Lingongo, Ruth M Swedler, Travis W Groth
Purpose: To evaluate the impact of prophylactic antibiotics after distal hypospadias repair on postoperative bacteriuria, symptomatic urinary tract infection, and postoperative complications in a prospective, randomized trial. Materials and Methods: Consecutive patients aged 6 months to 2 years were enrolled at our institution between June 2013 and May 2017. Consenting patients were randomized to antibiotic prophylaxis with trimethoprim-sulfamethoxazole versus no antibiotic...
2018: Advances in Urology
https://www.readbyqxmd.com/read/29777488/no-need-for-a-urine-culture-in-elderly-hospitalized-patients-with-a-negative-dipstick-test-result
#8
Zvi Shimoni, Vered Hermush, Joseph Glick, Paul Froom
To determine the clinical utility/disutility of canceling urine cultures in elderly patients with a negative dipstick. The cohort included consecutive patients aged ≥ 65 years hospitalized in internal medicine departments with an admission urinalysis and urine culture (January 1, 2014 to December 31, 2016). We calculated the sensitivity of the dipstick (either a trace leukocyte esterase or a positive nitrite test result) to detect patients with bacteriuria, and the decrease in urine cultures resulting from cancelation in patients with a negative dipstick...
May 18, 2018: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/29770546/risk-factors-for-nursing-and-healthcare-associated-urinary-tract-infection
#9
Keiji Sugishita, Toshiaki Saito, Takashi Iwamoto
AIM: In concordance with population aging, the number of patients living in long-term care facilities or who require nursing care has been increasing in Japan. However, little is known about the characteristics of urinary tract infection in these patients. The present study aimed to clarify the background or risk factors for multidrug-resistant urinary tract infection in this patient population. METHODS: A retrospective study was carried out of patients aged ≥65 years who presented to Kesennuma City Municipal Motoyoshi Hospital from April 2014 to July 2017 with suspected urinary tract infection and a positive urine culture...
May 17, 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29768465/stopping-the-effective-non-fluoroquinolone-antibiotics-at-day-7-vs-continuing-until-day-14-in-adults-with-acute-pyelonephritis-requiring-hospitalization-a-randomized-non-inferiority-trial
#10
Pavankumar Rudrabhatla, Surendran Deepanjali, Jharna Mandal, Rathinam Palamalai Swaminathan, Tamilarasu Kadhiravan
OBJECTIVE: To evaluate whether stopping the effective antibiotic treatment following clinical improvement at Day 7 (Truncated treatment) would be non-inferior to continued treatment until Day 14 (Continued treatment) in patients with acute pyelonephritis (APN) requiring hospitalization treated with non-fluoroquinolone (non-FQ) antibiotics. METHODS: Hospitalized adult men and non-pregnant women with culture-confirmed APN were eligible for participation after they had clinically improved following empirical or culture-guided treatment with intravenous non-FQ antibiotic(s)...
2018: PloS One
https://www.readbyqxmd.com/read/29747905/prospective-evaluation-of-the-management-of-urinary-tract-infections-in-134-french-nursing-homes
#11
L Lemoine, C Dupont, A Capron, E Cerf, M Yilmaz, D Verloop, K Blanckaert, E Senneville, S Alfandari
OBJECTIVE: Prospective assessment of the management of urinary tract infections (UTI) in the nursing homes of the Hauts-de-France region. PATIENTS AND METHODS: A 50-question form had to be filled in for up to five consecutive residents treated for UTI in each nursing home. If necessary, diagnoses were reclassified according to the 2014 French Infectious Diseases Society guidelines. Analyses were presented per supposed (reported) and reclassified diagnoses. RESULTS: Of 397 contacted facilities, 134 participated and informed 444 UTI episodes...
May 7, 2018: Médecine et Maladies Infectieuses
https://www.readbyqxmd.com/read/29743326/reducing-urinary-catheter-use-a-protocol-for-a-mixed-methods-evaluation-of-an-electronic-reminder-system-in-hospitalised-patients-in-australia
#12
Oyebola Fasugba, Allen C Cheng, Philip L Russo, Maria Northcote, Hannah Rosebrock, Brett G Mitchell
INTRODUCTION: Despite advances in infection prevention and control, catheter-associated urinary tract infections (CAUTIs) are common and remain problematic. Prolonged urinary catheterisation is the main risk factor for development of CAUTIs; hence, interventions that target early catheter removal warrant investigation. The study's objectives are to examine the efficacy of an electronic reminder system, the CATH TAG, in reducing urinary catheter use (device utilisation ratio) and to determine the effect of the CATH TAG on nurses' ability to deliver patient care...
May 9, 2018: BMJ Open
https://www.readbyqxmd.com/read/29733799/asymptomatic-bacteriuria-and-antimicrobial-susceptibility-pattern-of-the-isolates-among-pregnant-women-attending-dessie-referral-hospital-northeast-ethiopia-a-hospital-based-cross-sectional-study
#13
Ismail Ebrie Ali, Teklay Gebrecherkos, Mucheye Gizachew, Martha Alemayehu Menberu
OBJECTIVE: The aim of the current study was to find out the prevalence of asymptomatic bacteriuria, antimicrobial susceptibility pattern of the isolates and related risk factors among pregnant women. MATERIAL AND METHODS: A hospital-based cross-sectional study was carried out from February 2017 to May 2017 among asymptomatic pregnant mothers attending Dessie Referral Hospital, Northeast Ethiopia. About 10-15 mL of freshly voided midstream urine samples were collected from each study participants, and analyzed at Dessie regional research microbiology laboratory with conventional antibiotic susceptibility, and biochemical tests...
May 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29723457/-one-puncture-one-needle-trus-guided-prostate-biopsy-for-prevention-of-postoperative-infections
#14
Xiao-Fu Qiu, Guo-Sheng Yang, Bo-Te Chen, Li Ma
Objective: To explore the feasibility and effectiveness of "one-puncture one-needle" transrectal ultrasound (TRUS)-guided prostate biopsy in the prevention of postoperative infections. METHODS: We retrospectively analyzed the clinical data about "one-puncture one-needle" (the observation group) and "one-person one-needle" (the control group) TRUS-guided prostate biopsy performed in the Second People's Hospital of Guangdong Province from January 2005 to December 2015, and compared the incidence rates of puncture-related infection between the two strategies...
July 2017: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/29701531/characterization-of-subclinical-bacteriuria-bacterial-cystitis-and-pyelonephritis-in-dogs-with-chronic-kidney-disease
#15
Jonathan D Foster, Harathi Krishnan, Stephen Cole
OBJECTIVE To determine the prevalence of bacteriuria (ie, a positive microbial culture result for ≥ 1 urine sample) in dogs with chronic kidney disease (CKD) and characterize findings of subclinical bacteriuria (SBU), bacterial cystitis, or pyelonephritis in these patients. DESIGN Retrospective, observational study. ANIMALS 182 dogs. PROCEDURES Medical records from January 2010 through July 2015 were reviewed to identify dogs with CKD that underwent urinalysis and urine microbial culture. Signalment, clinicopathologic data, stage of CKD according to previously published guidelines, results of urinalysis and urine culture, and abdominal ultrasonographic findings were recorded...
May 15, 2018: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/29696228/serious-adverse-events-of-older-adults-in-nursing-home-and-community-intervention-trials
#16
Rupak Datta, Mark Trentalange, Peter H Van Ness, Joanne M McGloin, Jack M Guralnik, Michael E Miller, Michael P Walkup, Neelesh Nadkarni, Marco Pahor, Thomas M Gill, Vincent Quagliarello, Manisha Juthani-Mehta
Background/Aims: Clinical trials of older adults are increasingly common, but risks of serious adverse events (SAE) may vary. We describe the incidence of SAE in two randomized trials, one community-based and one nursing home-based. Methods: We performed a secondary data analysis from two randomized clinical trials at one academic health center and 21 nursing homes involving 200 sedentary community dwellers aged 70-89 years and 185 female nursing home residents aged 65 years or older...
March 2018: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/29688647/-position-statement-for-intermittent-catheterization-of-urinary-bladder
#17
Michael Vainrib, Kobi Stav, Ilan Gruenwald, Gabriel Gilon, Shahar Aharony, Miki Gross, Vadim Bluvshtein, Yakova Kauffman
A position paper presents the standpoint of the Israeli Urological Association on clean intermittent catheterization (CIC) for all physicians and nurses. The position paper is based on international guidelines and professional literature and is adapted to medical activities in Israel. CIC is indicated for the treatment of temporary/permanent disability in the emptying of the bladder, which is expressed by large post-voided urine/urine retention and related complications. There are a few contra-indications for CIC (low bladder volume or compliance, pressure sores/external infection of the urethra, anatomical, functional or cognitive disorder that does not allow to perform CIC, recurrent macrohematuria or urethrorrhagia, urethral pain that does not allow frequent catheterization, patient unwillingness to perform CIC by himself or by another person)...
April 2018: Harefuah
https://www.readbyqxmd.com/read/29682478/significance-of-bacteriuria-in-patients-with-end-stage-renal-disease-on-hemodialysis
#18
Ibrahim Taweel, Norman Beatty, Alexsis Duarte, David Nix, Kathryn Matthias, Mayar Al Mohajer
The significance of bacteriuria in patients with end-stage renal disease (ESRD) on hemodialysis (HD) is unclear. It is not known whether treatment of asymptomatic bacteriuria is associated with lower rates of urinary tract infection or readmission. Adult patients with ESRD on HD were retrospectively evaluated to assess factors associated with the recurrence of bacteriuria and readmission. We included 68 patients in the analysis. There were 20 patients (29.4%) with urinary symptoms. All symptomatic patients received antibiotic therapy, whereas half of the asymptomatic patients received antibiotics...
April 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/29660385/pre-operative-asymptomatic-bacteriuria-a-risk-factor-for-prosthetic-joint-infection
#19
R Weale, F El-Bakri, Kordo Saeed
BACKGROUND: Infection is a rare complication following implantation of prosthetic material into a joint. The impact of asymptomatic bacteriuria (ASB) before elective operations and the subsequent risk of prosthetic joint infection (PJI) are not well understood. AIMS: • Assess the prevalence of ASB amongst patients undergoing total arthroplasty of the hip and knee. • Determine the rates of PJI diagnosed within two years of the arthroplasty and if ASB is an independent risk factor for developing PJI...
April 13, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29658216/-prevention-of-urinary-tract-infection-in-the-elderly-what-s-new-in-long-term-care-facilities
#20
Sonia Lajoso, Marie Immaculée Nahimana Tessemo, Eve Rubli Truchard, Amel Rodondi, Christiane Petignat
Urinary tract infections are common in the elderly. They are a frequent reason for antibiotic prescription in nursing homes and hospitals. Doctors are confronted daily to the challenge that it is to diagnose urinary tract infections in older patients. The incidence of asymptomatic bacteriuria and the presence of unspecific symptoms and signs in this population transform guidelines for prevention and treatment into some kind of a battle. In this article we will : 1) make a reminder of the particular features of urinary tract infection in the elderly person ; 2) present the recommendations made by the experts and 3) emphasize the prevention of catheter-related urinary tract infection...
April 11, 2018: Revue Médicale Suisse
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