Paper Information

Journal:   JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES   FALL 2007 , Volume 16 , Number 63; Page(s) 74 To 77.
 
Paper: 

SURVEY THE EFFECT OF PROPHYLACTIC ANTIBIOTIC THERAPY IN REDUCING THE CHANCE OF POSITIVE URINE CALTURE IN PATIENTS WHO UNDERGO ESWL IN RASHT HOSPITALS

 
 
Author(s):  KHOSROU PANAH I., ROUSHANI A., SALEHI MOHAMMAD, MOKHTARI GH.R., ASGARI S.A.A.D., FALAHATKAR S., MOHAMMADZADEH ROGHAYEH, NIKPOUR SARA
 
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Abstract: 

Introduction: Extra Corporal Shock Wave Lithotripsy (ESWL) is the most common treatment of urinary system stone. One of the ESWL complications is urinary tract infections .There is controversy about preventive effect of prophylactic antibiotic therapy in infectious complications.

Objective: Assessing the effect of antibiotic prophylaxis in reducing the chance of positive urine culture in patients who undergo ESWL in Rasht Hospitals (Iran).

Materials and Methods: This is a controlled randomized clinical trial that carried out on 88 patients with Urolithiasis who underwent ESWL for Lithotripsy They divided in 2 groups randomly that for one group prophylactic antibiotic and for the other group placebo have been administered. After 10 days urine culture for all patients was performed and results were analyzed with chi-square test.

Result: Positive urine culture were 4.5% (2patients) in patients who administered prophylactic antibiotic therapy and 6.8% (3 patients) in control group patients (p>0.05). There was no satisfactory relationship between prophylactic antibiotic therapy and decreased positive urine culture.

Conclusions: There is no significant Differences between prophylactic antibiotic therapy and decreased positive urine culture .However, more studies is recommended.

 
Keyword(s): ANTIBIOTICS, LITHOTRIPSY, URINARY TRACT INFECTIONS
 
References: 
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