Periprocedural Antibiotic Prophylaxis Practice during Diagnostic Cystoscopy: An Observational Study

Authors

  • Anjit Phuyal Department of Urology and Kidney Transplant Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author
  • Suman Chapagain Department of Urology and Kidney Transplant Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author
  • Pawan Raj Chalise Department of Urology and Kidney Transplant Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author
  • Bhojraj Luitel Department of Urology and Kidney Transplant Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author
  • Sujeet Poudyal Department of Urology and Kidney Transplant Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author
  • Prem Raj Gyawali Department of Urology and Kidney Transplant Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author

DOI:

https://doi.org/10.59779/jiomnepal.1294

Keywords:

Antibiotic, cystoscopy, prophylaxis

Abstract

Introduction 
Both American and European guidelines recommend against routine use of antibiotics prophylaxis in routine cystoscopy. But studies have shown that antibiotics use during cystoscopy is discordant from available guideline recommendations even in Europe and America. This study aims to identify prophylactic antibiotic uses pattern of Nepalese Urologists and measure adherence to guidelines.

Methods
An online questionnaire based self-reported survey was conducted among the practicing urologists of Nepal, who were full members of Nepalese Association of Urologists. The questionnaires in Google Forms were sent via emails to 96 urologists of Nepal. Fully completed questionnaires were analyzed.

Results
Out of 96 emails 58 fully filled questionnaires were received and analyzed. Routine prophylactic antibiotics prescription before cystoscopy was reported by 43 (74.1%) urologists. Availability of Antibiotic Stewardship/Antimicrobial Stewardship team at their workplace was reported by 31 (53.4%) urologists and 19 (32.8%) urologists reported of having Standard Operating Procedure regarding peri-procedural antibiotic prophylaxis at their workplace. No verification of the answers were done and reported as received.

Conclusion
Peri-procedural antibiotic prophylaxis practice during cystoscopy was highly prevalent.

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Published

2024-08-31

How to Cite

Periprocedural Antibiotic Prophylaxis Practice during Diagnostic Cystoscopy: An Observational Study. (2024). Journal of Institute of Medicine Nepal, 46(2), 84-87. https://doi.org/10.59779/jiomnepal.1294

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