Do Routine Preoperative and Intraoperative Urine Cultures Benefit Pediatric Vesicoureteral Reflux Surgery? Article Swipe
Daniel Hettel
,
Bradley C. Gill
,
Audrey Rhee
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1155/2017/3197869
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1155/2017/3197869
Objective . To determine if routine preoperative and intraoperative urine cultures (UCx) are necessary in pediatric vesicoureteral (VUR) reflux surgery by identifying their association with each other, preoperative symptoms, and surgical outcomes. Materials and Methods . A retrospective review of patients undergoing ureteral reimplant(s) for primary VUR at a tertiary academic medical center between years 2000 and 2014 was done. Preoperative UCx were defined as those within 30 days before surgery. A positive culture was defined as >50,000 colony forming units of a single organism. Results . A total of 185 patients were identified and 87/185 (47.0%) met inclusion criteria. Of those, 39/87 (45%) completed a preoperative UCx. Only 3/39 (8%) preoperative cultures returned positive, and all of those patients were preoperatively symptomatic. No preoperatively asymptomatic patients had positive preoperative cultures. Intraoperative cultures were obtained in 21/87 (24.1%) patients; all were negative. No associations were found between preoperative culture results and intraoperative cultures or between culture result and postoperative complications. Conclusions . In asymptomatic patients, no associations were found between the completion of a preoperative or intraoperative UCx and surgical outcomes, suggesting that not all patients may require preoperative screening. Children presenting with symptoms of urinary tract infection (UTI) prior to ureteral reimplantation may benefit from preoperative UCx.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1155/2017/3197869
- http://downloads.hindawi.com/journals/au/2017/3197869.pdf
- OA Status
- gold
- Cited By
- 3
- References
- 26
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W2605785427Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1155/2017/3197869Digital Object Identifier
- Title
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Do Routine Preoperative and Intraoperative Urine Cultures Benefit Pediatric Vesicoureteral Reflux Surgery?Work title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2017Year of publication
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2017-01-01Full publication date if available
- Authors
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Daniel Hettel, Bradley C. Gill, Audrey RheeList of authors in order
- Landing page
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https://doi.org/10.1155/2017/3197869Publisher landing page
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https://downloads.hindawi.com/journals/au/2017/3197869.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://downloads.hindawi.com/journals/au/2017/3197869.pdfDirect OA link when available
- Concepts
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Vesicoureteral reflux, Medicine, Urine, Reflux, Internal medicine, DiseaseTop concepts (fields/topics) attached by OpenAlex
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3Total citation count in OpenAlex
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2023: 2, 2019: 1Per-year citation counts (last 5 years)
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26Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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