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Antibiotic use and the prevention and management of infectious complications in stone disease

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Abstract

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.

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Authors and Affiliations

  1. Division of Urology, Department of Surgery, Duke University Medical Center, 40 Duke Medicine Circle, Room 1573, White Zone, Durham, North Carolina, 27710, USA

    Daniel A. Wollin & Glenn M. Preminger

  2. St James’ University Hospital, Leeds, UK

    Adrian D. Joyce

  3. Mount Sinai Medical Center, New York, NY, USA

    Mantu Gupta

  4. Mount Elizabeth Hospital, Singapore, Singapore

    Michael Y. C. Wong

  5. AMC University of Amsterdam, Amsterdam, The Netherlands

    Pilar Laguna

  6. University of Thessaly, Larissa, Greece

    Stavros Gravas

  7. Wake Forest School of Medicine, Winston-Salem, NC, USA

    Jorge Gutierrez

  8. University of Foggia, Foggia, Italy

    Luigi Cormio

  9. West China Hospital, Sichuan University, Chengdu, China

    Kunjie Wang

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  1. Daniel A. Wollin
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Wollin, D.A., Joyce, A.D., Gupta, M. et al. Antibiotic use and the prevention and management of infectious complications in stone disease. World J Urol 35, 1369–1379 (2017). https://doi.org/10.1007/s00345-017-2005-9

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