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Title: Culture-positive urinary tract infection following micturating cystourethrogram in children.
Austin Authors: Ngweso, Simeon;Nyandoro, Munyaradzi;Nzenza, Tatenda C ;Cheow, Ting Yi;Bettenay, Fiona;Barker, Andrew;Khosa, Japinder;Samnakay, Naeem
Affiliation: School of Medicine, University of Western Australia, Dalkeith, Western Australia, Australia
Royal Perth Hospital, Perth, Western Australia, Australia
Princess Margaret Hospital, Subiaco, Western Australia, Australia
Fiona Stanley Hospital. Murdoch, Western Australia, Australia
Young Urology Researchers Organisation, Melbourne, Australia
Issue Date: Jul-2022
Date: 2021
Publication information: Asian Journal of Urology 2022; 9(3): 329-333
Abstract: To determine the incidence of culture-positive urinary tract infection (UTI) after micturating cystourethrogram (MCUG). We further wanted to identify risk factors for developing a culture-positive UTI following MCUG. A retrospective review of the available medical records of 500 paediatric patients who underwent MCUG in Perth, Western Australia was performed. Seven (1.4%) patients comprised of four females and three males developed a febrile, culture-positive UTI within 14 days following MCUG. Significant association was found for female patients, patients with neurogenic bladder, and patients with previous culture-positive UTI as developing a culture-positive UTI following MCUG. Multivariate logistic regression determined that patients were more likely to develop culture-positive UTI within 14 days following MCUG if they had a known history of UTI (odds ratio: 5.0, 95% confidence interval: 1.5-17.3, p=0.010) or had a neurogenic bladder (odds ratio: 4.2, 95% confidence interval: 1.0-17.9, p=0.049). The incidence of patients who developed a febrile, culture-positive UTI following MCUG was low at 1.4%. Statistically significant and independent associations for the development of culture positive UTI were found in patients with neurogenic bladder and patients with previous culture-positive UTI. Further prospective studies are necessary to determine necessity of prophylactic antibiotics for high-risk patients, e.g., patients with neurogenic bladder or previous culture-positive UTI.
DOI: 10.1016/j.ajur.2021.08.006
Journal: Asian Journal of Urology
PubMed URL: 36035343
ISSN: 2214-3882
Type: Journal Article
Subjects: Functional urology
Micturating cystourethrogram
Paediatric urology
Voiding cystourethrogram
Appears in Collections:Journal articles

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