Editing Antibiotic Prophylaxis (section)

== Urinary Catheter Removal ==
*'''Does not significantly reduce risk of UTIs in patients undergoing radical prostatectomy or TURP'''
**'''2021 Systematic Review and Meta-Analysis'''
***'''8 randomized trials evaluating antibiotic prophylaxis for UTIs after extraction of a temporary (≤14 days) urinary catheter.'''
****'''2 trials were laparoscopic radical prostatectomy patients'''
****'''1 trial was TURP patients'''
***'''Results'''
****'''Only 2 studies showed that antibiotic prophylaxis can significantly reduce the consequent UTIs after extraction of urinary catheters while 6 did not.'''
*****'''None of the 3 urological trials found a significant benefit of antibiotic prophylaxis'''
*****2 trials that found benefit were in patients undergoing abdominal surgery or women on medical and surgical wards with bacteriuria
****Overall, antibiotic prophylaxis was associated with reduced UTIs (RR, 0.47, 95% confidence interval [CI] 0.28-0.72, P< .01, I2 = 31%).
****Subgroup analysis suggested that patients who could get more benefit from antibiotic prophylaxis included
*****Are > 60
*****Received Trimethoprim/sulfamethoxazole (TMP/SMX
*****indwelling catheters > 5 days
***[https://pubmed.ncbi.nlm.nih.gov/32763348/ Liu, Linhu, et al.] "Antibiotic prophylaxis after extraction of urinary catheter prevents urinary tract infections: A systematic review and meta-analysis." ''American Journal of Infection Control'' 49.2 (2021): 247-254.