The importance of assessing perioperative urine/stone cultures and providing appropriate antibiotic prophylaxis prior to shock wave lithotripsy (SWL) or endoscopic intervention cannot be minimized. Urinary tract infection (UTI) is the most common complication relating to stone intervention. Adequate assessment of culture data and adherence to appropriate guidelines may prevent the development of UTI and the potential for post-intervention urosepsis. This review outlines the current evidence for prophylaxis in the prevention of UTI and urosepsis, as well as the interpretation of stone culture data to provide an evidence-based approach for the judicious use of antibiotics in urologic stone practice.
World journal of urology. 2017 Feb 03 [Epub ahead of print]
Daniel A Wollin, Adrian D Joyce, Mantu Gupta, Michael Y C Wong, Pilar Laguna, Stavros Gravas, Jorge Gutierrez, Luigi Cormio, Kunjie Wang, Glenn M Preminger
Division of Urology, Department of Surgery, Duke University Medical Center, 40 Duke Medicine Circle, Room 1573, White Zone, Durham, North Carolina, 27710, USA., St James' University Hospital, Leeds, UK., Mount Sinai Medical Center, New York, NY, USA., Mount Elizabeth Hospital, Singapore, Singapore., AMC University of Amsterdam, Amsterdam, The Netherlands., University of Thessaly, Larissa, Greece., Wake Forest School of Medicine, Winston-Salem, NC, USA., University of Foggia, Foggia, Italy., West China Hospital, Sichuan University, Chengdu, China., Division of Urology, Department of Surgery, Duke University Medical Center, 40 Duke Medicine Circle, Room 1573, White Zone, Durham, North Carolina, 27710, USA. .