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?
Do you take into account past history of urosepsis when making this decision?
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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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1 Answer
Mednet MemberInvited Expert
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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