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Infectious disease consultants consistently ask their urology colleagues to evaluate and treat active infections in patients who are scheduled for invasive procedures and to limit postoperative antibiotic courses to 24 hours or less unless ongoing infection is present. Guidelines issued by urological professional societies urge limiting postoperative antibiotic courses to ≤24 hours unless ongoing infection is present (J Urol 2008; 179:1379). And still, studies show that perioperative antibiotics are prescribed for far longer than the recommended duration.
Researchers analyzed antibiotic prescribing patterns for 29,350 invasive urological procedures (ureteroscopy or transurethral resection of the prostate or bladder tumors) performed at more …