Routine urine culture at the time of percutaneous urinary drainage: Does every patient need one? Journal Article

  


Authors: Brody, L. A.; Brown, K. T.; Covey, A. M.; Brown, A. E.; Getrajdman, G. I.
Article Title: Routine urine culture at the time of percutaneous urinary drainage: Does every patient need one?
Abstract: Purpose: To determine the clinical variables associated with bacteriuria in patients undergoing primary percutaneous antegrade urinary drainage procedures in order to predict the utility of routinely obtaining urine cultures at the time of the procedure. Methods: Between October 1995 and March 1998 urine cultures were prospectively obtained in all patients undergoing a primary percutaneous antegrade urinary drainage procedure. One hundred and eighty-seven patients underwent 264 procedures. Results were available in 252 cases. Culture results were correlated with clinical, laboratory, and demographic variables. Anaerobic cultures were not uniformly performed. Results: Urine cultures were positive in 24 of 252 (9.5%) cases. An indwelling or recently removed ipsilateral device (catheter or stent) and a history of previous cystectomy with urinary diversion were significant predictors of a positive culture. Patients without either of these predictors, and without clinical or laboratory evidence of infection, were rarely found to have positive cultures. Conclusion: The likelihood of a positive urine culture can be predicted on the basis of the aforementioned clinical variables. In the absence of these clinical indicators routine urine cultures are neither useful nor cost-effective. © Springer Science+Business Media, Inc. 2006.
Keywords: adult; controlled study; aged; middle aged; major clinical study; clinical feature; prospective study; demography; prediction; correlation analysis; laboratory test; cystectomy; nephrostomy; nephroureterectomy; interventional radiology; bacteriuria; urinalysis; drainage; clinical examination; bacteria; urine culture; diagnostic tests, routine; candida; urinary tract infections; percutaneous nephrostomy; indwelling catheter; urinary tract surgery; candida glabrata; indwelling device
Journal Title: CardioVascular and Interventional Radiology
Volume: 29
Issue: 4
ISSN: 0174-1551
Publisher: Springer  
Date Published: 2006-08-01
Start Page: 595
End Page: 598
Language: English
DOI: 10.1007/s00270-005-0096-y
PUBMED: 16729231
PROVIDER: scopus
DOI/URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-33744720788&partnerID=40&md5=0122a4f40a75552d35e96b9aecfa6758
Notes: --- - "Export Date: 4 June 2012" - "CODEN: CARAD" - "Source: Scopus"
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MSK Authors
  1. George I Getrajdman
    118 Getrajdman
  2. Anne Covey
    167 Covey
  3. Lynn Brody
    120 Brody
  4. Karen T Brown
    178 Brown
  5. Arthur E Brown
    76 Brown
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