CUA: Antibiotic Prophylaxis (2015)
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- Risk factors for post-procedure infection:
- Extremes of age
- Immunosuppressed
- Nutritional status
- Obesity
- Diabetes mellitus
Procedure | Prophylaxis recommendation | Details |
Diagnosis procedures (cystoscopy, urodynamics, retrograde pyelography, etc.) | High-risk |
|
TRUS biopsy | All |
|
TURP | All |
|
TURBT | High-risk | |
ESWL | High-risk |
|
Stone manipulation procedures (URS, PCNL) | All |
|
- The choice of specific agent for prophylaxis should be based, in part, on the local epidemiology of drug resistance in potential uropathogens
- The American Heart Association no longer recommends urologic prophylaxis to prevent endocarditis in at-risk patients