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Breuleux C, Gondran-Tellier B, Guerin V, et al. Preoperative polymicrobial urine culture: An analysis of the risk of perioperative urinary tract infection. Prog Urol. 2021;doi: 10.1016/j.purol.2021.09.002.
Breuleux, C., Gondran-Tellier, B., Guerin, V., McManus, R., Pauly, V., Lechevallier, E., Albanese, J., & Baboudjian, M. (2021). Preoperative polymicrobial urine culture: An analysis of the risk of perioperative urinary tract infection. Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie, . https://doi.org/10.1016/j.purol.2021.09.002
Breuleux, C, et al. "Preoperative polymicrobial urine culture: An analysis of the risk of perioperative urinary tract infection." Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie vol. (2021). doi: https://doi.org/10.1016/j.purol.2021.09.002
Breuleux C, Gondran-Tellier B, Guerin V, McManus R, Pauly V, Lechevallier E, Albanese J, Baboudjian M. Preoperative polymicrobial urine culture: An analysis of the risk of perioperative urinary tract infection. Prog Urol. 2021 Sep 30; doi: 10.1016/j.purol.2021.09.002. Epub 2021 Sep 30. PMID: 34602341.
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Prog Urol. 2021 Sep 30; doi: 10.1016/j.purol.2021.09.002. Epub 2021 Sep 30.

Preoperative polymicrobial urine culture: An analysis of the risk of perioperative urinary tract infection.

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie

C Breuleux, B Gondran-Tellier, V Guerin, R McManus, V Pauly, E Lechevallier, J Albanese, M Baboudjian

Affiliations

  1. Department of anesthesiology and reanimation, Conception Academic hospital, Aix-Marseille university, AP-HM, Marseille, France.
  2. Department of urology and kidney transplantation, Conception Academic hospital, Aix-Marseille university, AP-HM, 147, boulevard Baille, 13005 Marseille, France.
  3. Department of medical information, Conception Academic Hospital, Aix-Marseille university, AP-HM, Marseille, France.
  4. Department of urology and kidney transplantation, Conception Academic hospital, Aix-Marseille university, AP-HM, 147, boulevard Baille, 13005 Marseille, France. Electronic address: [email protected].

PMID: 34602341 DOI: 10.1016/j.purol.2021.09.002

Abstract

PURPOSE: To report our management of preoperative polymicrobial urine culture and to determine its correlation with the risk of postoperative urinary tract infection (UTI).

PATIENTS AND METHODS: We retrospectively identified all patients with preoperative polymicrobial urine culture in our center between January 2017 and October 2019. Preoperative urine cultures were collected 5 to 8 days before the surgery. No antibiotic prophylaxis was administered preoperatively in the absence of pyuria. Patients with pyuria (≥10 leukocytes/mm

RESULTS: In all, 690 patients were included in the study. In line with our protocol, patients had Ceftriaxone, Fluoroquinolones, another antibiotic or no antibiotic prophylaxis in 492 cases (71.3%), 22 cases (3.2%), 31 cases (4.5%), and 145 cases (21%), respectively. The overall sterilization rate of 40.4% was similar between each treatment arm (P=0.54). Postoperative UTI occurred in 68 cases (10.5%). In multivariate analysis, a sterile urine culture the day before surgery was the only factor decreasing the risk of postoperative UTI (OR 0.39, 95%CI, 0.17-0.84; P=0.022).

CONCLUSIONS: Our findings suggest that empirical antibiotic therapy for the treatment of preoperative polymicrobial urine culture is no longer adequate. Further evaluation of organisms isolated may provide the necessary antibiograms for initiation of susceptibility based antibiotic therapy that could decrease postoperative UTI rates.

LEVEL OF EVIDENCE: 3.

Copyright © 2021 Elsevier Masson SAS. All rights reserved.

Keywords: Antibiothérapie; Antibiotic therapy; Examen cyto-bactériologique des urines; Infection urinaire; Polymicrobial; Polymicrobien; Preoperative; Urinary tract infection; Urine culture; préopératoire

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