Abstract
Abstract
Context
Prophylactic antibiotics are usually not recommended for an in and out catheterization. However procedures involving similar catheterizations like micturition cystourethrogram (MCUG) and cystometrogram are being performed under prophylactic antibiotic cover.
Aims
We aim to find the incidence of symptomatic urinary tract infections following MCUG done in children without antibiotic cover.
Settings and design
A retrospective cross sectional study was conducted on 398 patients who underwent MCUG from January 2015 to January 2016. The median age was 24 months and here were 272 males and 126 females, with 102 of them being infants.
Methods and material
Urine microscopy or culture was checked before performing the MCUG and only those without UTI were included in the study. Those with symptomatic and culture proven UTI within 2 weeks post-MCUG were defined as having post-procedure UTI (ppUTI). The incidence of post-procedure UTI was calculated and was compared with other studies.
Statistical analysis used
Data was entered in Microsoft Excel and analyzed using SPSS. Categorical variables were summarized as percentage and continuous variables were summarized as mean with standard deviation.
Results
Symptomatic procedure induced UTI were seen in only 3 of the 398 (0.75%) patients with a 95% CI of 0.02–0.008.
Conclusions
Strict adherence to aseptic precautions while performing an MCUG and prompt initiation of appropriate therapy when indicated may help obviate the need for routine administration of pre procedure antibiotics before MCUG.
Publisher
Springer Science and Business Media LLC
Reference11 articles.
1. Gould CV, Umscheid CA, Agarwal RK, Kuntz G, Pegues DA, Healthcare Infection Control Practices Advisory Committee (2010) Guideline for prevention of catheter-associated urinary tract infections 2009. Infect Control Hosp Epidemiol 31(4):319–326. https://doi.org/10.1086/651091
2. Maskell R, Pead L, Vinnicombe J (1978) Urinary infection after micturating cystography. Lancet 2(8101):1191–1192
3. Bryce A, Hay AD, Lane IF, Thornton HV, Wootton M, Costelloe C (2016) Global prevalence of antibiotic resistance in paediatric urinary tract infections caused by Escherichia coli and association with routine use of antibiotics in primary care: systematic review and meta-analysis. BMJ 352:i939. https://doi.org/10.1136/bmj.i939
4. National Collaborating Centre for Women’s and Children’s Health (UK) (2007) Urinary tract infection in children: diagnosis, treatment and long-term management. RCOG Press, London (NICE Clinical Guidelines, No. 54.) Available from: https://www.ncbi.nlm.nih.gov/books/NBK50606/
5. McAlister WH, Cacciarelli A, Shackelford GD (1974) Complications associated with Cystography in children. Pediatr Radiol 111:167–172