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How many days of preoperative antibiotics do you give a patient if they have a positive urine culture and are scheduled for ureteroscopy and laser lithotripsy?

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How many days of preoperative antibiotics do you prescribe for a patient with a positive urine culture scheduled for ureteroscopy and laser lithotripsy?

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Urology · University of North Carolina at Chapel Hill
Answered on

Great question! I treat these patients as if they have a complicated urinary tract infection and begin culture-specific antibiotics 7 days before surgery through the date of surgery. I generally do not repeat testing in the interim to confirm a negative culture as long as they do not develop worseni...

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