Expert Review
Lowering Urinary Tract Infections Associated with Urethral Procedures
Chapter 1: Reducing UTIs Associated with Urethral Procedures: Concepts and Strategies
Jun Kawakami, MD, FRCSC
Southern Alberta Institute of Urology, Calgary, Alberta
Urinary tract infections (UTIs) are a common iatrogenic complication of diagnostic and therapeutic procedures involving urethral manipulation, such as catheterization or cystoscopy. Due to the potential for UTIs to incur additional healthcare costs, adversely affect outcome, and diminish patient satisfaction, steps to reduce risk are warranted in both males and females. Simple steps surrounding the performance of endourethral procedures, such as employing antimicrobial prophylaxis and minimizing injury and trauma to the urethral endothelium through lubricants and anaesthesia, offer opportunities to reduce the risk of infection over that provided by standard infection control practice alone. Many of these steps are well known but applied inconsistently. In performing diagnostic or therapeutic procedures involving the urethra, rigorously implemented UTI risk reduction assures high standards of quality of care.
Show reviewQuestions and Answers 1/3 – Urologist’s Perspective
Jun Kawakami, MD, FRCSC
Southern Alberta Institute of Urology, Calgary, Alberta
3 Q’s & A’s
Show reviewQuestions and Answers 2/3 – Obstetrician / Gynecologist’s Perspective
Wynne I. Leung, BSc, MD, FRCSC
Obstetrics and Gynaecology, Rockyview Hospital
Clinical Assistant Professor, University of Calgary, Calgary, Alberta
3 Q’s & A’s
Show reviewQuestions and Answers 3/3 – Surgeon’s Perspective
Rohan Lall, MD, FRCSC, FACS
General and Trauma Surgeon, Clinical Assistant Professor
University of Calgary, Calgary, Alberta
3 Q’s & A’s
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