Urinary tract infections in the intradetrusor onabotulinumtoxinA population

Q4 Medicine
Esme White, A. Brewin, T. Nitkunan
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引用次数: 0

Abstract

The aim of our study was to determine the incidence of Urinary Tract Infections (UTI) following intradetrusor onabotulinumtoxinA injections within our trust. This was a retrospective study of all patients who underwent intradetrusor onabotulinumtoxinA injections at our trust from August 2005 to 2015. Information was taken from our botulinum database, clinic letters and microbiology results. The primary outcome criterion was a positive urine culture together with symptoms suggestive of infection within 6 months post-procedure. A total of 290 intradetrusor onabotulinumtoxinA procedures were performed on 86 patients. The rate of UTI within 6 months following a procedure was 33%. There was a high resistance rate to our standard antibiotic prophylaxis, which was changed together with the addition of pre-procedure urine cultures and an on the day urine dipstick test. A re-audit was performed between January and June 2016 of 41 procedures and showed a reduction in UTI incidence to 20%. The rate of UTI post procedure within our trust was 33%. Following the implementation of multiple management protocol changes, a re-audit showed a reduction of UTI incidence to 20%.
etrusor内肉毒杆菌毒素A人群的尿路感染
我们研究的目的是确定尿路感染(UTI)的发生率在我们的信托信托内的肌内注射肉毒杆菌毒素。这是一项回顾性研究,研究对象是2005年8月至2015年在我们医院接受肌内肉毒杆菌毒素注射的所有患者。信息取自我们的肉毒杆菌数据库、临床信函和微生物学结果。主要预后标准为术后6个月内尿培养阳性并出现感染症状。86例患者共接受290例肌内肉毒杆菌毒素治疗。手术后6个月内尿路感染发生率为33%。我们的标准抗生素预防有很高的耐药率,这与术前尿液培养和当天尿液试纸试验一起改变。2016年1月至6月对41例手术进行了重新审计,结果显示尿路感染发生率降低了20%。我们信托的UTI术后发生率为33%。在实施多项管理方案变更后,重新审核显示尿路感染发生率降低至20%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Urogynaecologia International Journal
Urogynaecologia International Journal Medicine-Obstetrics and Gynecology
CiteScore
0.20
自引率
0.00%
发文量
10
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