Is There Any Benefit to the Use of Antibiotics with Indwelling Catheters after Urologic Surgery in Adults

Fenizia Maffucci, Chrystal Chang, Jay Simhan, Joshua A. Cohn

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

Antibiotic stewardship in urologic reconstruction is critically important, as many patients will require indwelling catheters for days to weeks following surgery and thus are at risk of both developing catheter-associated urinary tract infections (CAUTI) as well as multi-drug resistant (MDR) uropathogens. Accordingly, limiting antibiotic use, when safe, should help reduce antibiotic resistance and the prevalence of MDR organisms. However, there is significant heterogeneity in how antibiotics are prescribed to patients who need indwelling urethral catheters post-operatively. We performed a literature review to determine if there are benefits in the use of antibiotics for various clinical scenarios that require post-operative indwelling catheters for greater than 24 h. In general, for patients undergoing prostatectomy, transurethral resection of the prostate, and/or urethroplasty, antibiotic administration may be limited without increased risk of CAUTI. However, more work is needed to identify optimal antibiotic regimens for these and alternative urologic procedures, whether certain sub-populations benefit from longer courses of antibiotics, and effective non-antibiotic or non-systemic therapies.

Original languageEnglish
Article number156
JournalAntibiotics
Volume12
Issue number1
DOIs
StatePublished - Jan 2023

Keywords

  • antibiotic prophylaxis
  • catheter-related infections
  • prostatectomy
  • transurethral resection of prostate
  • urethral diseases
  • urinary catheter
  • urinary tract infection
  • urology

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