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Contemporary Antibiotic Management for Urologic Procedures and Infections, An Issue of Urologic Clinics, E-Book

Contemporary Antibiotic Management for Urologic Procedures and Infections, An Issue of Urologic Clinics, E-Book

Sarah C. Flury

(2015)

Additional Information

Book Details

Abstract

The Guest Editors created a unique focus to the general topic of infectious diseases. They have focused on contemporary management of antibiotics used for procedures and infections. Articles are devoted to: Update on Antibiotic Prophylaxis for GU Procedures in Patients with Arificial Joint Replacement and Artifical Heart Valves; Asymptomatic Bacteriuria; Urinary Tract Infection and Bacteruria in Pregnancy;  Resistance Patterns in Contemporary Antibiotics: ESBL and Beyond ; UTI and Neurogenic Bladder; Modern Guidelines for Skin and Bowel Prep for Open and Laparascopic GU Surgery; Work up of Pediatric Urinary Tract Infection; Pre Prostate Biopsy Rectal Culture and Post Biopsy Sepsis; Infection with Foreign Bodies: Mesh and Prostheses; Treatment of the Infected Stone; Sexually Transmitted Infections: Updated Guidelines and Treatment; Bacteruria/UTI in the Elderly; Treatement of Fungal Urinary Tract Infection; and  STDs.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contemporary AntibioticManagement for UrologicProcedures and Infections i
Copyright\r ii
PROGRAM OBJECTIVE iii
TARGET AUDIENCE iii
LEARNING OBJECTIVES iii
ACCREDITATION iii
DISCLOSURE OF CONFLICTS OF INTEREST iii
UNAPPROVED/OFF-LABEL USE DISCLOSURE iii
TO ENROLL iii
METHOD OF PARTICIPATION iv
CME INQUIRIES/SPECIAL NEEDS iv
Contributors v
CONSULTING EDITOR v
EDITORS v
AUTHORS v
Contents vii
Foreword: Contemporary Antibiotic Management for Urologic Procedures and Infections\r vii
Preface: Contemporary Antibiotic Management for Urologic Procedures and Infections\r vii
Modern Guidelines for Bowel Preparation and Antimicrobial Prophylaxis for Open and Laparoscopic Urologic Surgery\r vii
Update on Antibiotic Prophylaxis for Genitourinary Procedures in Patients with Artificial Joint Replacement and Artificial ... vii
Preprostate Biopsy Rectal Culture and Postbiopsy Sepsis\r vii
Treatment of the Infected Stone\r viii
Treatment of Fungal Urinary Tract Infection\r viii
Current Concepts in Infections Associated with Penile Prostheses and Artificial Sphincters\r viii
Epidemiology and Management of Emerging Drug-Resistant Gram-Negative Bacteria: Extended-Spectrum β-Lactamases and Beyond\r viii
Sexually Transmitted Infections\r ix
Work-up of Pediatric Urinary Tract Infection\r ix
Urinary Tract Infection and Neurogenic Bladder\r ix
Asymptomatic Bacteriuria in Noncatheterized Adults\r ix
Urinary Tract Infection and Bacteriuria in Pregnancy\r x
Bacteruria and Urinary Tract Infections in the Elderly\r x
UROLOGIC CLINICS OF NORTH AMERICA\r xi
FORTHCOMING ISSUES xi
February 2016 xi
May 2016 xi
August 2016 xi
RECENT ISSUES xi
August 2015 xi
May 2015 xi
February 2015 xi
Foweword\r xiii
Preface\r xv
Modern Guidelines for Bowel Preparation and Antimicrobial Prophylaxis for Open and Laparoscopic Urologic Surgery 429
Key points 429
INTRODUCTION 429
MECHANICAL BOWEL PREPARATION 429
Rationale 429
Types of Mechanical Bowel Preparation 430
Oral Antibiotics in Combination with Mechanical Bowel Preparation 430
Disadvantages of Mechanical and Antibiotic Bowel Preparation 431
Bowel Preparation in Urology 432
Cystectomy with urinary diversion 432
Enhanced recovery protocols 432
Enterocystoplasty 432
Radical prostatectomy 433
Laparoscopic and robotic surgery 433
ANTIMICROBIAL PROPHYLAXIS 434
Before Skin Incision 434
Preparation of Skin 436
SUMMARY 437
REFERENCES 437
Update on Antibiotic Prophylaxis for Genitourinary Procedures in Patients with Artificial Joint Replacement and Artificial ... 441
Key points 441
INTRODUCTION 441
SCOPE AND SIGNIFICANCE OF IMPLANT-ASSOCIATED INFECTION 442
Artificial Total Joint Replacement Infection 442
Artificial Heart Valve Infection 442
PATHOGENESIS OF IMPLANT-ASSOCIATED INFECTION 442
SOURCES OF BACTEREMIA 443
Urologic Procedures 443
Bacteremia from Other Sources 443
ANTIBIOTIC PROPHYLAXIS IN PATIENTS WITH ARTIFICIAL JOINT REPLACEMENTS 444
ANTIBIOTIC PROPHYLAXIS IN PATIENTS WITH ARTIFICIAL HEART VALVES 445
SUMMARY 446
REFERENCES 446
Preprostate Biopsy Rectal Culture and Postbiopsy Sepsis 449
Key points 449
INTRODUCTION 449
CURRENT TRANSRECTAL ULTRASOUND-GUIDED PROSTATE BIOPSY ANTIMICROBIAL PROPHYLAXIS GUIDELINES 451
ANTIMICROBIAL RESISTANCE AND ITS IMPLICATIONS ON CURRENT TRANSRECTAL ULTRASOUND-GUIDED PROSTATE BIOPSY ANTIMICROBIAL PROPHY ... 451
INCIDENCE OF POST–TRANSRECTAL ULTRASOUND-GUIDED PROSTATE BIOPSY INFECTIOUS COMPLICATIONS, INCLUDING UROSEPSIS 451
ORIGINAL DATA SUPPORTING PRE–TRANSRECTAL ULTRASOUND-GUIDED PROSTATE BIOPSY RECTAL SWAB 452
Rectal Swab Technique and Protocol 453
RECTAL SWAB AND POST–TRANSRECTAL ULTRASOUND-GUIDED PROSTATE BIOPSY INFECTIOUS COMPLICATIONS 453
SUMMARY 456
REFERENCES 457
Treatment of the Infected Stone 459
Key points 459
INTRODUCTION 459
Infection Stones 459
Obstructive Pyelonephritis 460
PATIENT EVALUATION OVERVIEW 461
Infection Stones 461
Obstructive Pyelonephritis 462
PHARMACOLOGIC TREATMENT OPTIONS 463
Infection Stones 463
Treatment of Fungal Urinary Tract Infection 473
Key points 473
INTRODUCTION 473
CANDIDURIA 473
Patient Evaluation 473
Initial Evaluation 474
Further Evaluation 474
Antimicrobial Treatment 475
Nonantimicrobial Treatment 478
Special Situations 478
NON-CANDIDA FUNGAL URINARY TRACT DISEASE 480
Aspergillosis 480
Cryptococcus 480
Blastomycosis 480
Mucormycosis 480
Coccidiomycosis 480
Histoplasmosis 480
TREATMENT RESISTANCE/COMPLICATIONS 480
Fluconazole Resistance 480
Treatment in Cases of Renal Failure 480
Toxicities 481
EVALUATION OF OUTCOME AND LONG-TERM RECOMMENDATIONS 481
Evaluation of Outcomes 481
Summary/Discussion 481
REFERENCES 482
Current Concepts in Infections Associated with Penile Prostheses and Artificial Sphincters 485
Key points 485
INTRODUCTION 485
INFECTIONS OF PENILE PROSTHESES 485
Superficial Skin Infections Versus Prosthesis Infections 485
Acute and Chronic Penile Implant Infections 486
Treatment of Infections Associated with Prostheses 486
Salvage Reimplantation 487
The Effect of Antibacterial Coatings 488
Preventing Penile-Prosthesis-Associated Infection 488
Preoperative antibiotics 489
Patient preparation 489
Intraoperative measures to decrease penile-prosthesis-associated infections 489
ARTIFICIAL URINARY SPHINCTERS 489
Infections and Erosions Due to Artificial Urinary Sphincters 489
Microorganisms Involved in Infections Associated with Artificial Urinary Sphincters 490
The Approach to a Sphincter-Associated Infection or Erosion 490
Guide to Artificial Urinary Sphincter Implantation 490
OVERALL SUMMARY 491
REFERENCES 491
Epidemiology and Management of Emerging Drug-Resistant Gram-Negative Bacteria 493
Key points 493
INTRODUCTION 493
EXTENDED-SPECTRUM β-LACTAMASE–CONTAINING BACTERIA 494
Definition and Types 494
Epidemiology and Risk Factors 494
Infections and Treatment 495
Outcomes 495
CARBAPENEM-RESISTANT ENTEROBACTERIACEAE AND KLEBSIELLA PNEUMONIAE CARBAPENEMASE–PRODUCING ORGANISMS 495
Definition and Types 495
Epidemiology and Risk Factors 496
Infections and Treatment 496
Outcomes 496
New Delhi Metallo–β-Lactamase 497
CARBAPENEM-RESISTANT ACINETOBACTER BAUMANNII 497
Definition and Types 497
Epidemiology and Risk Factors 497
Infections and Treatments 497
Outcomes 498
MULTIDRUG-RESISTANT PSEUDOMONAS 498
Definition and Types 498
Epidemiology and Risk Factors 498
Infections and Treatments 499
Outcomes 499
DRUGS OF LAST RESORT 499
STRATEGIES TO PREVENT RESISTANCE 499
SUMMARY 503
REFERENCES 503
Sexually Transmitted Infections 507
Key points 507
INTRODUCTION 507
INFECTIONS THAT CAUSE ULCERS 508
Syphilis 508
Clinical presentation 508
Diagnostic testing 508
Treatment 511
Herpes Simplex Virus 511
Epidemiology 511
Clinical presentation 511
Diagnostic testing 512
Treatment 512
Rare Causes of Genital Ulcer in the United States 512
INFECTIONS THAT CAUSE URETHRITIS, EPIDIDYMITIS, CERVICITIS, AND VAGINAL DISCHARGE 513
Clinical Presentation 513
Diagnosis 513
CHLAMYDIA 513
Treatment 513
GONORRHEA 514
Work-up of Pediatric Urinary Tract Infection 519
Key points 519
INTRODUCTION 519
HISTORY AND PHYSICAL 519
Children Less Than 2 Years of Age 520
Children Aged 2 to 12 Years 520
History 520
Examination 520
Adolescent Children 520
ADOLESCENT GIRLS AND URINARY TRACT INFECTION 520
ADOLESCENT BOYS AND URINARY TRACT INFECTION 521
URINE TESTING 521
URINE SPECIMEN COLLECTION IN NON–TOILET-TRAINED CHILDREN 521
Bag Specimen 521
Urethral Catheterization 521
Suprapubic Aspiration 521
URINE TESTS 521
Dipstick Urinalysis 521
Microscopic Analysis 522
Urine Culture 522
Serum Tests 522
IMAGING 522
Renal Bladder Ultrasonography 522
Voiding Cystourethrogram 522
Dimercaptosuccinic Acid Scan 522
TREATMENT 523
Treatment Course 523
Oral Antibiotics 524
Parenteral Antibiotics 524
Renal Scarring 524
REFERENCES 524
Urinary Tract Infection and Neurogenic Bladder 527
Key points 527
INTRODUCTION 527
EPIDEMIOLOGY 527
PATHOGENESIS 528
BLADDER DYSFUNCTION 528
URINARY STASIS/INCREASED POSTVOID RESIDUAL 528
CATHETER USE 528
IMMUNE DYSFUNCTION 530
DIAGNOSIS 530
MONITORING FOR INFECTION 530
TREATMENT 531
PREVENTION 532
Cranberry, d-Mannose, Ascorbic Acid 532
Bacterial Interference/Probiotics 532
Bladder Irrigation 533
Onabotulinum Toxin A 533
Antibiotic Prophylaxis 533
SUMMARY 534
REFERENCES 534
Asymptomatic Bacteriuria in Noncatheterized Adults 537
Key points 537
INTRODUCTION 537
Definition of Asymptomatic Bacteriuria and Infectious Diseases Society of America Recommendations 537
EPIDEMIOLOGY OF ASYMPTOMATIC BACTERIURIA 538
ASYMPTOMATIC BACTERIURIA IN DIABETIC PATIENTS 539
THE BASIC SCIENCE OF ASYMPTOMATIC BACTERIURIA 540
Fimbriae 540
Lipopolysaccharides 540
Toxins 540
Host Factors 540
Growth Factors 541
Use as Biotherapeutics 541
TRANSLATIONAL BARRIERS TO THE APPLICATION OF THE INFECTIOUS DISEASES SOCIETY OF AMERICA RECOMMENDATIONS 541
SUMMARY 542
REFERENCES 542
Urinary Tract Infection and Bacteriuria in Pregnancy 547
Key points 547
INTRODUCTION 547
PATHOGENESIS 548
URINARY TRACT CHANGES IN PREGNANCY 548
ANTIMICROBIALS IN PREGNANCY 548
Choice of Treatment 548
Antimicrobial Resistance 550
Penicillins 550
Cephalosporins 550
Monobactams 550
Carbapenems 551
Clindamycin 551
Macrolides 551
Nitrofurantoin 551
Fosfomycin 551
Sulfonamides and Trimethoprim 551
Aminoglycosides 552
Quinolones 552
Tetracyclines 552
Vancomycin 552
Linezolid, Daptomycin, and Newer Antimicrobials 552
ASYMPTOMATIC BACTERIURIA IN PREGNANCY 552
Definition 552
Epidemiology 552
Significance 553
Screening 553
Treatment 554
Follow-up and Prevention 554
LOWER URINARY TRACT INFECTIONS (CYSTITIS) 554
UPPER URINARY TRACT INFECTIONS (PYELONEPHRITIS) 554
Epidemiology 554
Significance 554
Diagnosis 554
Treatment 555
SUMMARY 555
REFERENCES 555
Bacteruria and Urinary Tract Infections in the Elderly 561
Key points 561
INTRODUCTION 561
PURPOSE OF THIS REVIEW 561
DEFINITIONS OF ASYMPTOMATIC BACTERIURIA 562
DEFINITIONS OF URINARY TRACT INFECTION 562
CHALLENGES AND CONTROVERSY IN DIAGNOSIS 562
EPIDEMIOLOGY 562
Asymptomatic Bacteriuria 562
Urinary Tract Infection 563
MICROBIOLOGY 563
RISK FACTORS 563
PATHOPHYSIOLOGY 564
TREATMENT 564
Asymptomatic Bacteriuria 564
Community-dwelling Adults 564
Institutionalized Adults 565
Chronic Catheterization 565
PREVENTION 565
Community-Dwelling and Long-Term Care Facility Residents 565
Indwelling Catheters 566
SUMMARY 566
REFERENCES 566
Index 569