Tuesday , November 24 2020

Antibiotic use is high in common urine procedures



"Reducing unnecessary use of antibiotics in this setting is just one example of how doctors can be better antibiotic managers," Livorsi said.

Study: The use of antibiotics is high in common urine procedures

Antibiotics are being overused in patients undergoing common urological procedures.

HIGHLIGHTS

  1. Antibiotics are overused in patients undergoing urological procedures
  2. Researchers examined whether urologists follow AUA guidelines
  3. Patients often received antibiotics for three to five days

Antibiotics are being overused in patients undergoing common urological procedures that expose them to potential injuries, including an increased risk of infection with C. difficile bacteria, researchers warned. Clostridium difficile, often called C. difficile, is a bacterium that can cause symptoms ranging from diarrhea to potentially fatal inflammation of the colon. The study showed that almost 60 percent of patients were prescribed antibiotics in a manner that did not follow the guidelines of the US Urological Association (AUA), which recommends that antibiotics be administered for up to 24 hours following most urological procedures.

"This study shows that antibiotics are often continued for several days following common urological procedures, even when there is no clear indication for antibiotics," says lead author Daniel Livorsi of the University of Iowa in the United States.

"Reducing unnecessary use of antibiotics in this setting is just one example of how doctors can be better antibiotic managers," Livorsi said.

It is common for patients who undergo a urological or other surgical procedure to provide antibiotics as a precaution to prevent a surgical related infection. However, overuse of antibiotics can promote antibiotic resistance, according to the Centers for Disease Control and Prevention.

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"Reducing unnecessary use of antibiotics in this setting is just one example of how doctors can be better antibiotic managers," Livorsi said.
Photo Credit: iStock

For the study, the researchers investigated whether urologists follow AUA's guidelines for prescribing antibiotics. They manually reviewed the records for 375 patients who had one of three common urological procedures.

The results, published in the "JAMA Network Open", showed that 217 patients (58 percent) were prescribed antibiotics in a manner that did not follow the AUA guidelines.

The most common deviation from the guidelines involved antibiotic prescription following the procedure: 211 patients (56 percent) received antibiotics for longer than 24 hours following a procedure, the team said.

In fact, patients were often given antibiotics for three to five days after a procedure instead of the 24 hours or less recommended by the guidelines.

The study did not investigate why urologists prescribe antibiotics for longer than recommended after a procedure.


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