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Prophylactic antibiotics in urinary catheterisation to prevent infection
Charing Cross Hospital, London
Report by F Garnham, C Smith, Specialist Registrars in Emergency Medicine
Search checked by S Williams, Specialist Registrar in Emergency Medicine
Charing Cross Hospital, London
Keywords: Antibiotics; emergency department; prophylaxis; urinary catheterisation
| The first 150 words of the full text of this article appear below. |
A short cut review was carried out to establish whether prophylactic antibiotics reduced the incidence of urinary tract infection in patients requiring urinary catheterisation for acute urinary retention. In total, 104 papers were found in Medline, 81 in Embase and 2 in the Cochrane database using the reported searches, of which 1 presented the best evidence to answer the clinical question. The authors, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this best paper are tabulated. It is concluded that the evidence of benefit is too poor to recommend routine use of prophylactic antibiotics in the emergency department.
A 70 year old gentleman presents to the emergency department in acute urinary retention. You decide to catheterise him. Your senior house office tells you that when he was in a Urology department it was standard practice to give systemic antibiotics to any
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