Effect of routine preop urine screening on postop outcomes
Editor's Note
Antimicrobial treatment of asymptomatic organisms identified in preoperative urine cultures was not associated with reductions in the risk for postoperative infections, including urinary tract infections (UTIs) and surgical site infections (SSIs), this study finds.
In this analysis of 68,265 patients in 109 Veterans Affairs hospitals who had cardiac, orthopedic, or vascular surgery, preoperative asymptomatic bacteriuria was associated with higher rates of positive postoperative urine cultures, and it was associated with higher 30-day SSIs in cardiac surgical patients.
However, preoperative antimicrobial treatment for asymptomatic bacteriuria was not associated with improvement in postoperative outcomes. The rates of SSIs, UTIs, and positive wound and urine culture results were the same in patients who were treated and untreated.
The findings provide evidence for discontinuing the practice of preoperative screening and treatment for asymptomatic bacteriuria, the researchers say.
Free Daily News
- FDA medical device class 1 recalls trend upward
- Data cast doubt on recommendation to delay weight-loss meds prior to surgery
- AAMI guidance covers sterile processing of dilators, ultrasound probes
- Surgical site infections often caused by preexisting bacteria
- The Joint Commission launches new telehealth accreditation program
- FDA announces class 1 recall for disposable biopsy needle kit
- Report: Consistent, purposeful manager-team engagement reduces RN turnover
- Death, hospital readmission less likely for women treated by female doctors
- FDA announces class 1 recalls for infusion pumps, anesthesia workstation
- Study finds workforce readiness gap in new nurses