Monodose aztreonam in the prevention of infection after extracorporeal shockwave lithotripsy. Theoretical premises
Puppo, P.; Caviglia, C.; Germinale, F.; Giuliani, L.
Minerva Urologica e Nefrologica 41(2): 109-113
1989
ISSN/ISBN: 0393-2249 PMID: 2772776 Document Number: 346968
A series of 905 patients suffering from renal calculosis and treated with ESWL is considered and the indications for antibiotic treatment with prophylactic or prolonged aztreonam reviewed: 1) for calculi with sterile urine or occasionally infected with I.S.T. less than 200, monodose prophylaxis is certainly advantageous; 2) for calculi with sterile urine or occasionally infected with I.S.T. between 200 and 500, prolonged antibiotic cover is useful; 3) for calculi with chronic infection or with I.S.T. greater than 500, prolonged target antibiotic therapy is necessary; 4) aztreonam is an effective drug for both monodose prophylaxis and for cover treatment. In more complex cases, an antibiogram indication is necessary.