Abstract
Purpose
This review assesses guideline discrepancies for urologic surgery antimicrobial prophylaxis and identifies opportunities for improvement of antimicrobial prophylaxis and stewardship.
Methods
Literature search using PubMed, Embase, Cochrane, and association websites identified guidelines for review from the American Urological Association, Canadian Urological Association, European Association of Urology, Japanese Urological Association, and Association of Health-System Pharmacists/Infectious Disease Society of America/Surgical Infection Society/Society for Healthcare Epidemiology of America.
Results
The greatest variability between guidelines was found in prophylaxis recommendations for prostate brachytherapy, transurethral resection of bladder tumor, extracorporeal shock wave lithotripsy (ESWL), and ureteroscopy with manipulation. Variability was also present in recommended duration of prophylaxis and recommended antibiotic. Contradictions between guidelines existed regarding prophylaxis for patients with indwelling stents undergoing ESWL, as well as for patients at risk of endocarditis undergoing urologic procedures. Procedures with the least variability in prophylaxis recommendation included diagnostic procedures (cystourethroscopy, urodynamic studies, and diagnostic ureteroscopy), transurethral resection of prostate, transrectal prostate biopsy, percutaneous nephrolithotomy, procedures involving prosthesis placement or intestine, and open or laparoscopic procedures.
Conclusions
Consensus recommendations are present for several procedures, many of which still rely on non-urologic data. Several other procedures have variability in recommendations, generally due to a lack of strong data. The use of risk factors as indication for prophylaxis in many procedures is at times ambiguous and confusing. Together, these observations indicate a need for further research to provide more robust and consistent guidelines for antimicrobial prophylaxis and stewardship in the field of urology.
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References
Ban KA, Minei JP, Laronga C et al (2017) American college of surgeons and surgical infection society: surgical site infection guidelines, 2016 update. J Am Coll Surg 224(1):59–74
Lo E, Nicolle LE, Coffin SE et al (2014) Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 35(5):464–479
Weinstein JW, Mazon D, Pantelick E et al (1999) A decade of prevalence surveys in a tertiary-care center: trends in nosocomial infection rates, device utilization, and patient acuity. Infect Control Hosp Epidemiol 20:543–548
Miles AA, Miles EM, Burke J (1957) The value and duration of defence reactions of the skin to the primary lodgement of bacteria. Br J Exp Pathol 38(1):79–96
Classen DC, Evans RS, Pestotnik SL et al (1992) The timing of prophylactic administration of antibiotics and the risk of surgical-wound infection. N Engl J Med 326(5):281–286
De Jonge SW, Gans SL, Atema JJ, Solomkin JS, Dellinger PE, Boermeester MA (2017) Timing of preoperative antibiotic prophylaxis in 54,552 patients and the risk of surgical site infection: a systematic review and meta-analysis. Medicine 96(29): e6903
Alsaywid BS, Smith GHH (2013) Antibiotic prophylaxis for transurethral urological surgeries: systematic review. Urol Ann 5(2):61–74
Cai T, Verze P, Brugnolli A et al (2016) Adherence to European Association of Urology guidelines on prophylactic antibiotics: an important step in antimicrobial stewardship. Eur Urol 69(2):276–283
Mossanen M, Calvert JK, Holt SK et al (2015) Overuse of antimicrobial prophylaxis in community practice urology. J Urol 193(2):543–547
Bausch K, Roth JA, Seifert HH, Widmer AF (2018) Overuse of antimicrobial prophylaxis in low-risk patients undergoing transuretheral resection of the prostate. Swiss Med Wkly 148:w14594
Cek M, Tandogdu Z, Naber K et al (2013) Antibiotic prophylaxis in urology departments, 2005–2010. Eur Urol 63(2):386–394
Lawson KA, Rudzinski JK, Vicas I, Carlson KV (2013) Assessment of antibiotic prophylaxis prescribing patterns for TURP: a need for Canadian guidelines? Can Urol Assoc J 7(7–8):E530–E536
Greene DJ, Gill BC, Hinck B et al (2018) American Urological Association antibiotic best practice statement and ureteroscopy: does antibiotic stewardship help? J Endourol 4:283–288
Wolf JS Jr, Bennett CJ, Dmochowski RR et al (2008) Best practice policy statement on urologic surgery antimicrobial prophylaxis. J Urol 179:1379–1390
Mrkobrada M, Ying I, Mokrycke S et al (2015) CUA guidelines on antibiotic prophylaxis for urologic procedures. Can Urol Assoc J 9(1–2):13–22
Canadian Urological Association. CUA guidelines. http://www.cuaj.ca/index.php/journal/pages/view/CUA%20Guidelines. Accessed 18 Jan 2018
Grabe M, Bjerklund-Johansen TE, Botto H et al (2012) Guidelines on urological infections. https://uroweb.org/wp-content/uploads/17_Urological-infections_LR-II.pdf. Accessed 15 Nov 2017
Phillips B et al (2009) Oxford centre for evidence-based medicine levels of evidence. http://www.cebm.net/oxford-centre-evidence-based-medicine-levels-evidence-march-2009/. Accessed 12 Jan 2017
Yamamoto S, Shigemura K, Kiyota H et al (2016) Essential Japanese guidelines for the prevention of perioperative infections in the urological field: 2015 edition. Int J Urol 23:814–824
Bratzler DW, Dellinger EP, Olsen KM et al (2013) Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm 70:195–283
American Society of Health-System Pharmacists (1999) ASHP therapeutic guidelines on antimicrobial prophylaxis in surgery. Am J Health Syst Pharm 56:1839–1888
Dellinger EP, Gross PA, Barrett TL et al (1994) Quality standard for antimicrobial prophylaxis in surgical procedures. Clin Infect Dis 18:422–427
Page CP, Bohnen JM, Fletcher JR et al (1993) Antimicrobial prophylaxis for surgical wounds: guidelines for clinical care. Arch Surg 128:79–88
Kartal ED, Yenilmez A, Kiremitci A, Meric H, Kale M, Usluer G (2006) Effectiveness of ciprofloxacin prophylaxis in preventing bacteriuria caused by urodynamic study: a blind, randomized study of 192 patients. Urology 67:1149
Rané A, Cahill D, Saleemi A, Montgomery B, Palfrey E (2001) The issue of prophylactic antimicrobials prior to flexible cystoscopy. Eur Urol 39:212
Johnson MI, Merrilees D, Robson WA, Lennon T, Masters J, Orr KE et al (2007) Oral ciprofloxacin or trimethoprim reduces bacteriuria after flexible cystoscopy. BJU Int 100:826
Tsugawa M, Monden K, Nasu Y, Kumon H, Ohmori H (1998) Prospective randomized comparative study of antimicrobial prophylaxis in urethrocystoscopy and urethrocystography. Int J Urol 5:441
Cundiff GW, McLennan MT, Bent AE (1999) Randomized trial of antimicrobial prophylaxis for combined urodynamics and cystourethroscopy. Obstet Gynecol 93:749
Peschers UM, Kempf V, Jundt K, Autenrieth I, Dimpfl T (2001) Antimicrobial treatment to prevent urinary tract infections after urodynamic evaluation. Int Urogynecol J 12:254
Wilson L, Ryan J, Thelning C, Masters J, Tuckey J (2005) Is antimicrobial prophylaxis required for flexible cystoscopy? A truncated randomized double-blind controlled trial. J Endourol 19:1006
Jimenez Cruz JF, Sanz Chinesta S et al (1993) Antimicrobial prophylaxis in urethrocystoscopy. comparative study [in Spanish]. Actas Urol Espanolas 17:172–175
Coptcoat M, Reed C, Cumming J et al (1988) Is antibiotic prophylaxis necessary for routine urodynamic investigations? A controlled study in 100 patients. Br J Urol 61:302–303
Darouiche R, Smith M, Markowski J (1994) Antibiotic prophylaxis for urodynamic testing in patients with spinal cord injury: a preliminary study. J Hosp Infect 28:57–61
Siracusano S, Knez R, Tiberio A et al (2008) The usefulness of antibiotic prophylaxis in invasive urodynamics in postmenopausal female subjects. Int Urogynecol J 19:939–942
Garcia-Perdomo HA, Lopez H, Carbonell J, Castillo D, Catano JG, Seron P (2013) Efficacy of antibiotic prophylaxis in patients undergoing cystoscopy: a randomized clinical trial. World J Urol 31(6):1433–1439
Herr HW (2014) Should antibiotics be given prior to outpatient cystoscopy? A plea to urologists to practice antibiotic stewardship. Eur Urol 65(4):839–842
Latthe PM, Foon R, Toozs-Hobson P (2008) Prophylactic antibiotics in urodynamics: a systematic review of effectiveness and safety. Neurourol Urodyn 27:167–173
Wilson W, Taubert KA, Gewitz M et al (2007) Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation 116:1736–1754
Aron M, Rajeev TP, Gupta NP (2000) Antibiotic prophylaxis for transrectal needle biopsy of the prostate: a randomized controlled study. BJU Int 85(6):682–685
Briffaux R, Merlet B, Normand G et al (2009) [Short or long schemes of antibiotic prophylaxis for prostate biopsy. A multicentre prospective randomised study]. Prog Urol 19(1):39–46
Crawford ED, Haynes AL Jr, Story MW, Borden TA (1982) Prevention of urinary tract infection and sepsis following transrectal prostatic biopsy. J Urol 127(3):449–451
Enlund AL, Varenhorst E (1997) Morbidity of ultrasound-guided transrectal core biopsy of the prostate without prophylactic antibiotic therapy. A prospective study in 415 cases. Br J Urol 79(5):777–780
Griffith BC, Morey AF, Ali-Khan MM, Canby-Hagino E, Foley JP, Rozanski TA (2002) Single dose levofloxacin prophylaxis for prostate biopsy in patients at low risk. J Urol 168(3):1021–1023
Isen K, Kupeli B, Sinik Z, Sozen S, Bozkirli I (1999) Antibiotic prophylaxis for transrectal biopsy of the prostate: a prospective randomized study of the prophylactic use of single dose oral fluoroquinolone versus trimethoprim sulfamethoxazole. Int Urol Nephrol 31(4):491–495
Kapoor DA, Klimberg IW, Malek GH et al (1998) Single-dose oral ciprofloxacin versus placebo for prophylaxis during transrectal prostate biopsy. Urology 52(4):552–558
Larsson P, Norming U, Tornblom M, Gustafsson O (1999) Antibiotic prophylaxis for prostate biopsy: benefits and costs. Prostate Cancer Prostatic Dis 2(2):88–90
Lindstedt S, Lindstrom U, Ljunggren E, Wullt B, Grabe M (2006) Single-dose antibiotic prophylaxis in core prostate biopsy: impact of timing and identification of risk factors. Eur Urol 50(4):832–837
Melekos MD (1990) Efficacy of prophylactic antimicrobial regimens in preventing infectious complications after transrectal biopsy of the prostate. Int Urol Nephrol 22(3):257–262
Puig J, Darnell A, Bermudez P et al (2006) Transrectal ultrasound-guided prostate biopsy: is antibiotic prophylaxis necessary? Eur Radiol 16(4):939–943
Sabbagh R, McCormack M, Peloquin F et al (2004) A prospective randomized trial of 1-day versus 3-day antibiotic prophylaxis for transrectal ultrasound guided prostate biopsy. Can J Urol 11(2):2216–2219
Schaeffer AJ, Montorsi F, Scattoni V et al (2007) Comparison of a 3-day with a 1-day regimen of an extended-release formulation of ciprofloxacin as antimicrobial prophylaxis for patients undergoing transrectal needle biopsy of the prostate. BJU Int 100(1):51–57
Shandera KC, Thibault GP, Deshon GE Jr (1998) Efficacy of one dose fluoroquinolone before prostate biopsy. Urology 52(4):641–643
Webb NR, Woo HH (2002) Antibiotic prophylaxis for prostate biopsy. BJU Int 89(8):824–828
Yamamoto S, Ishitoya S, Segawa T, Kamoto T, Okumura K, Ogawa O (2008) Antibiotic prophylaxis for transrectal prostate biopsy: a prospective randomized study of tosufloxacin versus levofloxacin. Int J Urol 15(7):604–606
Shigemura K, Tanaka K, Yasuda M et al (2005) Efficacy of 1- day prophylaxis medication with fluoroquinolone for prostate biopsy. World J Urol 23:356
Zani EL, Clark OA, Rodrigues Netto N Jr (2011) Antibiotic prophylaxis for transrectal prostate biopsy. Cochrane Database Syst Rev 5:CD006576
Takeyama K, Takahashi S, Maeda T et al (2007) Comparison of 1-day, 2-day, and 3-day administration of antimicrobial prophylaxis in radical prostatectomy. J Infect Chemother 13:320–323
Briffaux R, Coloby P, Bruyere F et al (2008) One preoperative dose randomized against 3-day antibiotic prophylaxis for transrectal ultrasonography guided prostate biopsy. BJU Int 103:1069–1073
Hara N, Kitamura Y, Saito T et al (2008) Perioperative antibiotics in radical cystectomy with ileal conduit urinary diversion: efficacy and risk of antimicrobial prophylaxis on the operation day alone. Int J Urol 15:511–515
Doğan HS, Şahin A, Çetinkaya Y et al (2002) Antibiotic prophylaxis in percutaneous nephrolithotomy: prospective study in 81 patients. J Endourol 16:649–653
Cam K, Kayikci A, Akman Y et al (2008) Prospective assessment of the efficacy of single dose versus traditional 3-day antimicrobial prophylaxis in 12-core transrectal prostate biopsy. Int J Urol 18:997–1001
Terai A, Ichioka K, Kohei N et al (2006) Antibiotic prophylaxis in radical prostatectomy: 1-day versus 4-day treatments. Int J Urol 13:1488–1493
Sakura M, Kawakami S, Yoshida S et al (2008) Prospective comparative study of single dose versus 3-day administration of antimicrobial prophylaxis in minimum incision endoscopic radical prostatectomy. Int J Urol 15:328–331
Togo Y, Kubo T, Taoka R et al (2014) Occurrence of infection following prostate biopsy procedures in Japan. Japanese Research Group for Urinary Tract Infection (JRGU) – A multi-center retrospective study. J Infect Chemother 20:232–237
Pickard R, Bartoletti R, Bjerklund-Johansen TE et al (2016) Guidelines on urological infections. https://uroweb.org/wp-content/uploads/EAU-Guidelines-Urological-Infections-2016-1.pdf. Accessed November 15, 2017
Abughosh Z, Margolick J, Goldenberg SL et al (2013) A prospective randomized trial of povidone-iodine prophylactic cleansing of the rectum before transrectal ultrasound guided prostate biopsy. J Urol 189:1326
Brown RW, Warner JJ, Turner BI, Harris LF, Alford RH (1981) Bacteremia and bacteriuria after transrectal prostatic biopsy. Urology 18:145
Ghafoori M, Madjid S, Hamidreza S, Hoseini K (2012) Decrease in infection rate following use of povidone-iodine during transrectal ultrasound guided biopsy of the prostate: a double blind randomized clinical trial. Iran J Radiol 9:67
Kanjanawongdeengam P, Viseshsindh W, Santanirand P, Prathombutr P, Nilkulwattana S (2009) Reduction in bacteremia rates after rectum sterilization before transrectal, ultrasound-guided prostate biopsy: a randomized controlled trial. J Med Assoc Thai 92:1621
Sharpe JR, Sadlowski RW, Finney RP, Branch WT, Hanna JE (1982) Urinary tract infection after transrectal needle biopsy of the prostate. J Urol 127:255
Otrock ZK, Oghlakian GO, Salamoun MM, Haddad M, Bizri AR (2004) Incidence of urinary tract infection following transrectal ultrasound guided prostate biopsy at a tertiary-care medical center in Lebanon. Infect Control Hosp Epidemiol 25:873
Liss MA, Ehdaie B, Loeb S et al (2017) An update of the American Urological Association white paper on the prevention and treatment of the more common complications related to prostate biopsy. J Urol 198(2):329–334
Dicker AP, Figura AT, Waterman FM, Valicenti RK, Strup SE, Gomella LG (2000) Is there a role for antimicrobial prophylaxis in transperineal interstitial permanent prostate brachytherapy? Tech Urol 6:104
Wallner K, Roy J, Harrison L (1996) Low risk of perioperative infection without prophylactic antimicrobials for transperineal prostate brachytherapy. Int J Radiat Oncol Biol Phys 36:681
Hoffelt SC, Wallner K, Merrick G (2004) Epididymitis after prostate brachytherapy. Urology 63:293
Taoka R, Togo Y, Kubo T et al (2013) Assessment of antimicrobial prophylaxis to prevent perioperative infection in patients undergoing prostate brachytherapy: multicenter cohort study. J Infect Chemother 19:926–930
Wagenlehner FM, Wagenlehner C, Schinzel S, Naber KG, Working Group “Urological Infections” of German Society of Urology (2005) Prospective, randomized, multicentric, open, comparative study on the efficacy of a prophylactic single dose of 500 mg levofloxacin versus 1920 mg trimethoprim/sulfamethoxazole versus a control group in patients undergoing TUR of the prostate. Eur Urol 47:549
Berry A, Barratt A (2002) Prophylactic antimicrobial use in transurethral prostatic resection: a meta-analysis. J Urol 167:571
Qiang W, Jianchen W, MacDonald R, Monga M, Wilt TJ (2005) Antimicrobial prophylaxis for transurethral prostatic resection in men with preoperative urine containing less than 100,000 bacteria per ml: a systematic review. J Urol 173:1175
MacDermott JP, Ewing RE, Somerville JF, Gray BK (1998) Cephradine prophylaxis in transurethral procedures for carcinoma of the bladder. Br J Urol 62:136
Gasser TC, Wisard M, Frei R (1996) Oral fleroxacin prophylaxis in transurethral surgery. J Urol 156:146–148
Savoca G, Raber M, Lissiani A et al (2000) Comparison of single preoperative oral rufloxacin versus perioperative ciprofloxacin as prophylactic agents in transurethral surgery. Arch Ital Urol Androl 72:15–20
Knopf HJ, Graff H, Schulze H (2003) Perioperative antimicrobial prophylaxis in ureteroscopic stone removal. Eur Urol 44:115
Shen P, Jiang M, Yang J et al (2011) Use of ureteral stent in extracorporeal shock wave lithotripsy for upper urinary calculi: a systematic review and meta-analysis. J Urol 186:1328–1335
Aghamir SM, Hamidi M, Salavati A et al (2011) Is antibiotic prophylaxis necessary in patients undergoing ureterolithotripsy? Acta Med Iran 49:513–516
Sobek M, Kontarova M, Goncalves F (1994) Prophylaxis with ciprofloxacin in transurethral surgery [in Slovak]. Rozhl Chir 73:298–299
Fourcade RO, The Cefotaxime Cooperative Group (1990) Antibiotic prophylaxis with cefotaxime in endoscopic extraction of upper urinary tract stones: a randomized study. J Antimicrob Chemother 26(Suppl A):77–83
Martov A, Gravas S, Etemadian M et al, Clinical Research Office of the Endourological Society Ureteroscopy Study Group (2015) Postoperative infection rates in patients with a negative baseline urine culture undergoing ureteroscopic stone removal: a matched case-control analysis on antibiotic prophylaxis from the CROES URS Global Study. J Endourol 29(2):171–180
Charton M, Vallancien G, Veillon B, Brisset JM (1986) Urinary tract infection in percutaneous surgery for renal calculi. J Urol 135:15
Darenkov AF, Derevianko II, Martov AG, Kotliarova GA, Kondrat’eva EM, Siniukhin VN (1994) The prevention of infectious-inflammatory complications in the postoperative period in percutaneous surgical interventions in patients with urolithiasis. Urol Nefrol 2:24
Seyrek M, Binbay M, Yuruk E et al (2012) Perioperative prophylaxis for percutaneous nephrolithotomy: randomized study concerning the drug and dosage. J Endourol 26(11):1431–1436
Togo Y, Tanaka S, Kanematsu A et al (2013) Antimicrobial prophylaxis to prevent perioperative infection in urological surgery: a multicenter study. J Infect Chemother 19:1093–1101
Steiner T, Traue C, Schubert J (2003) Perioperative antimicrobial prophylaxis in transperitoneal tumor nephrectomy: does it lower the rate of clinically significant postoperative infections? Urologe A 42:34
Montgomery JS, Johnston WK III, Wolf JS Jr (2005) Wound complications after hand-assisted laparoscopic surgery. J Urol 174:2226
Costa RJ, Krauss-Silva L (2004) Systematic review and meta-analysis of antimicrobial prophylaxis in abdominal hysterectomy. Cad Saude Publica 20:S175
Catarci M, Mancini S, Gentileschi P, Camplone C, Sileri P, Grassi GB (2004) Antimicrobial prophylaxis in elective laparoscopic cholecystectomy. Lack of need or lack of evidence? Surg Endosc 18:638
Martins AC, Krauss-Silva L (2006) Systematic reviews of antimicrobial prophylaxis in cesareans. Cad Saude Publica 22:2513
Tejirian T, DiFronzo LA, Haigh PI (2006) Antimicrobial prophylaxis for preventing wound infection after breast surgery: a systematic review and metaanalysis. J Am Coll Surg 203:729
Kiddoo DA, Wollin TA, Mador DR (2004) A population based assessment of complications following outpatient hydrocelectomy and spermatocelectomy. J Urol 171(2 Pt 1):746–748
Pessaux P, Atallah D, Lermite E et al (2005) French Associations for Surgical Research, Angers and Colombes. Risk factors for prediction of surgical site infections in “clean surgery”. Am J Infect Control 33(5):292–298
Swartz MA, Morgan TM, Krieger JN (2007) Complications of scrotal surgery for benign conditions. Urology 69(4):616–619
Grabe M (2004) Controversies in antimicrobial prophylaxis in urology. Int J Antimicrob Agents 23:S17
Prokocimer P, Quazza M, Giber C et al (1986) Short-term prophylactic antimicrobials in patients undergoing prostatectomy: report of a double blind randomized trial with 2 intravenous doses of cefotaxime. J Urol 135:60
Stranne J, Aus G, Hansson C, Lodding P, Pileblad E, Hugosson J (2004) Single-dose orally administered quinolone appears to be sufficient antibiotic prophylaxis for radical retropubic prostatectomy. Scand J Urol Nephrol 38(2):143–147
Richter S, Lang R, Zur F, Nissenkorn I (1991) Infected urine as a risk factor for postprostatectomy wound infection. Infect Control Hosp Epidemiol 12(3):147–149
Johnson DC, Nielsen ME, Matthews J et al (2014) Neoadjuvant chemotherapy for bladder cancer does not increase risk of perioperative morbidity. BJU Int 114:221–228
Lipp A, Lusardi G (2006) Systemic antimicrobial prophylaxis for percutaneous endoscopic gastrostomy. Cochrane Database Syst Rev 4:CD005571
Andersen BR, Kallehave FL, Andersen HK (2005) Antimicrobials versus placebo for prevention of postoperative infection after appendicectomy. Cochrane Database Syst Rev 3:CD001439
Song F, Glenny AM (1998) Antimicrobial prophylaxis in colorectal surgery: a systematic review of randomized controlled trials. Br J Surg 85:1232
Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR, The Hospital Infection Control Practices Advisory Committee (1999) Guideline for prevention of surgical site infection, 1999. Am J Infect Control 27(2):97–132
Studer UE, Danuser H, Merz VW, Springer JP, Zingg EJ (1995) Experience in 100 patients with an ileal low pressure bladder substitute combined with an afferent tubular isoperistaltic segment. J Urol 154(1):49–56
Takeyama K, Matsukawa M, Kunishima Y et al (2005) Incidence of and risk factors for surgical site infection in patients with radical cystectomy with urinary diversion. J Infect Chemother 11(4):177–181
Yamamoto S, Kunishima Y, Kanamaru S et al (2004) A multi-center prospective study for antibiotic prophylaxis to prevent perioperative infections in urologic surgery. Hinyokika Kiyo 50:673–683
Tanaka K, Arakawa S, Miura T et al (2012) Analysis of isolated bacteria and short-term antimicrobial prophylaxis with tazobactam-piperacillin (1:4 ratio) for prevention of postoperative infections after radical cystectomy. J Infect Chemother 18:175–179
Shigemura K, Tanaka K, Matsumoto M et al (2012) Post-operative infection and prophylactic antibiotic administration after radical cystectomy with orthotopic neobladder urinary Antibiotic dosing for infants and neonates. J Infect Chemother 18:479–484
Sanabria A, Domínguez LC, Valdivieso E, Gómez G (2007) Prophylactic antimicrobials for mesh inguinal hernioplasty: a meta-analysis. Ann Surg 245:392
Southwell-Keely JP, Russo RR, March L, Cumming R, Cameron I, Brnabic AJ (2004) Antimicrobial prophylaxis in hip fracture surgery: a metaanalysis. Clin Orthop Relat Res 419:179
Carson CC (2003) Diagnosis, treatment and prevention of penile prosthesis infection. Int J Impot Res 15(Suppl 5):S139–S146
Kabalin JN, Kessler R (1998) Infectious complications of penile prosthesis surgery. J Urol 139(5):953–955
Mould JW, Carson CC (1989) Infectious complications of penile prostheses. Infections in Urology 139:50–52
Radomski SB, Herschorn S (1992) Risk factors associated with penile prosthesis infection. J Urol 147(2):383–385
Bratzler DW, Houck PM, Surgical Infection Prevention Guideline Writers Workgroup (2005) Antimicrobial prophylaxis for surgery: an advisory statement from the National Surgical Infection Prevention Project. Am J Surg 189:395
Gross MS, Phillips EA, Carrasquillo RJ et al (2017) Multicenter investigation of the micro-organisms involved in penile prosthesis infection: an analysis of the efficacy of the AUA and EAU guidelines for penile prosthesis prophylaxis. J Sex Med 14(3):455–463
Bhatia NN, Karram MM, Bergman A (1989) Role of antimicrobial prophylaxis in retropubic surgery for stress urinary incontinence. Obstet Gynecol 74:637
Duff P, Park RC (1980) Antimicrobial prophylaxis in vaginal hysterectomy: a review. Obstet Gynecol 55:193S
Chang WC, Hung YC, Li TC, Yang TC, Chen HY, Lin CC (2005) Short course of prophylactic antimicrobials in laparoscopically assisted vaginal hysterectomy. J Reprod Med 50:524
van der Wall E, Verkooyen RP, Mintjes-de Groot J et al (1992) Prophylactic ciprofloxacin for catheter-associated urinary-tract infection. Lancet 339:946
Saint S, Lipsky BA (1999) Preventing catheter-related bacteriuria: should we? Can we? How? Arch Intern Med 159:800
Sedor J, Mulholland SG (1999) Hospital-acquired urinary tract infections associated with the indwelling catheter. Urol Clin North Am 26:821
Grabe M, Forsgren A, Hellsten S (1984) A short antimicrobial course given in conjunction with and after catheter removal consecutive to transurethral prostatic resection. Scand J Urol Nephrol 18:193
Duclos JM, Larrouturou P, Sarkis P (1992) Timing of antimicrobial prophylaxis with cefotaxime for prostatic resection: better in the operative period or at urethral catheter removal? Am J Surg 164:21S
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Ivan, S.J., Sindhwani, P. Comparison of guideline recommendations for antimicrobial prophylaxis in urologic procedures: variability, lack of consensus, and contradictions. Int Urol Nephrol 50, 1923–1937 (2018). https://doi.org/10.1007/s11255-018-1971-1
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DOI: https://doi.org/10.1007/s11255-018-1971-1