Faut-il contrôler la stérilité des urines avant cystoscopie en consultation externe ? Étude prospective de cohorte

Abstract : Background: the need to control the sterility of urine before endo-urological acts without tissue intrusion is not the subject of consensual recommendations. The main objective of this study was to determine the proportion of febrile urinary tract infection induced by these cystoscopies, in the absence of any antibiotic therapy and antibiotic prophylaxis. Methods: all patients undergoing cystoscopy, except those with clinical signs of urinary tract infection, or those already undergoing antibiotic therapy, were included. During the procedure an ECBU was conducted. Data concerning the patient's symptomatology during the course of the examination were collected on a self-questionnaire to be returned by the patient 15 days after cystoscopy. These results were then analysed on the basis of ECBU data. Results: 377 cystoscopic patients were included. There are no statistically significant differences between positive, contaminated or sterile ECBU groups on the occurrence of febrile urinary tract infection during cystoscopy. Conclusion: systematic control of urine sterility before cystoscopy is not necessary.
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Master Thesis
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Pierre Pescheloche. Faut-il contrôler la stérilité des urines avant cystoscopie en consultation externe ? Étude prospective de cohorte. Médecine humaine et pathologie. 2018. ⟨dumas-02161234⟩

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