Current American Urological Association (AUA) guidelines recommend
antibiotic prophylaxis in patients undergoing cystoscopy with manipu-
lation (including ureteral stent removal). However, there is little evidence
that this practice prevents UTI. Our objective was to investigate current
practice patterns of urologists in the use of antibiotic prophylaxis prior to
ureteral stent removal.
METHODS: An anonymous online survey was distributed to
members of the Endourological Society. The survey included questions
about provider demographics, personal practice for ureteral stent use
and removal, and antibiotics prophylaxis prior to stent removal.
RESULTS: Of the 2,544 urologists invited to participate, 284
(11%) completed the survey. Demographic information is outlined in
Table 1. Half do not prescribe antibiotics while the stent is in place. Of those
who give antibiotic prophylaxis before stent removal, 52% prescribe a
single dose. There is variation in antibiotic prophylaxis by method of stent
removal and surgery leading to stent placement (Figure 1). Forty-three
percent do not obtain a urine culture (UC) prior to stent removal. For
those who obtain a UC, duration of antibiotic treatment varies based on
UC results (Figure 2). Main factors influencing practice are AUA
guidelines, personal experience, patient history of UTI and UC results.
CONCLUSIONS: There is significant variation in practice
among urologists regarding antibiotic prophylaxis prior to stent removal.
Without evidence to support this practice, patients may be exposed
unnecessarily to harm related to antibiotic use without a clear benefit.
This lack of consensus highlights the need for additional research and
development of guidelines.
Source of Funding: None
MP39-17
CURRENT PUBLICATION TRENDS IN UROLOGY LITERATURE
Adam Schatz*, Anke Wang, Yasamin Ghiasi, Seamus Barrett,
Aman Kumar, Jennifer Cha, Adria Lam, Shruthi Perati, Angela Zheng,
Charles Welliver, Albany, NY
INTRODUCTION AND OBJECTIVES: Original research in
urology journals has not been systematically assessed for quality in
several years. Topic selection and measurements of quality may reflect
the overall relevance of urology publications to their general urologist
audience. In this study we seek to assess measures of quality of a
selection of original research published in three major urology journals
to identify temporal trends.
METHODS: All original research articles from the months of
January, February, and March from the years 2005, 2008, 2011, 2014,
and 2017 in the Journal of Urology (JU), British Journal of Urology In-
ternational (BJUI), and European Urology (EU) were assessed for
multiple measures of research quality and article type. This includes
topic; use of control, blinding, and randomization; single- vs. multi-
center data; prospective vs retrospective data; use of administrative
databases. Articles were independently assessed by two reviewers,
who were blinded to each other’s assessment. A senior reviewer then
compared the collected data for concordance and accuracy of
assessment. Trends in the data were assessed between journals and
over time.
RESULTS: 1,285 articles were assessed. Trends in topics are
reported in Table 1. Differences between journals are reported in
Table 2. Data regarding quality metrics and classifications are reported
in Table 3.
Vol. 201, No. 4S, Supplement, Saturday, May 4, 2019 THE JOURNAL OF UROLOGY
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Copyright © 2019 American Urological Association Education and Research, Inc. Unauthorized reproduction of this article is prohibited.