Is there a role for prophylactic antibiotics in the prevention of urinary tract infections following Foley catheter removal in patients having abdominal surgery?

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From: Canadian Journal of Surgery(Vol. 54, Issue 3)
Publisher: CMA Impact Inc.
Document Type: Report
Length: 2,263 words
Lexile Measure: 1570L

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Abstract :

Question: Does the use of antibiotic prophylaxis at urinary catheter removal reduce the rate of urinary tract infection? Design: Randomized controlled trial. Setting: Single centre in Basel, Switzerland. Patients: A total of 239 patients between January 2005 and September 2007 were randomly assigned into 2 groups by an online randomization generator. Intervention: Patients undergoing elective abdominal surgery with planned perioperative urethral catheterization were assigned at admission to receive either 960 mg of trimethoprim-sulfamethoxazole orally the night before and twice on the day of catheter removal or no antibiotic prophylaxis. Urinary cultures were obtained before and 3 days after catheter removal. Main outcome measures: Occurrence of symptomatic urinary tract infection (based on the Centers for Disease Control and Prevention definitions) after catheter removal. Results: Patients who received antibiotic prophylaxis experienced significantly fewer urinary tract infections than those who did not (5 of 103 [4.9%] v. 22 of 102 [21.6%], p

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Gale Document Number: GALE|A258241105