Asymptomatic Bacteriuria and Urological Surgery: Risk Factor or Not? Results From the National and Multicenter TOCUS Database
S. Kutchukian, Bastien Gondran‐Tellier, Aurélien Dinh, Humphrey Robin, P. Bigot, Marc Françot, S. De Vergie, J. Rigaud, Mathilde Chapuis, L. Brureau, C. Jousseaume, Omar Karray, Fares Kosseifi, Shahed Borojeni, A. Descazeaud, M. Chicaud, Harrison-Junior Asare, Maxime Gaullier, Baptiste Poussot, Thibault Tricard, Michaël Baboudjian, É. Lechevallier, Pierre-Olivier Delpech, Elias Ayoub, H. Ducousso, S. Bernardeau, F. Bruyère, M. Vallée
Abstract
PURPOSE: Current guidelines recommend screening and treatment of asymptomatic bacteriuria prior to all urological surgeries breaching the mucosa. But little evidence supports this recommendation. At the least, risk stratification for postoperative UTI to support this strategy is lacking. The aim of this study was to define the associated factors for postoperative febrile infectious complications (UTI or surgical site infection) in urological surgery. MATERIALS AND METHODS: We conducted a retrospective, multicentric study including all consecutive patients undergoing any urological surgery with preoperative urine culture. The primary outcome was the occurrence of a UTI or surgical site infection occurring within 30 days after surgery. RESULTS: < .001) were independent associated factors for postoperative febrile infections. CONCLUSIONS: Positive urine culture, including preoperative polymicrobial urine culture, prior to urological surgery was associated with postoperative infection. Additionally, patients experiencing infectious complications also had a higher incidence of other complications. The effectiveness of systematic preventive antibiotic therapy for a positive urine culture has not been conclusively established.