Occurrence of bacteriuria and bacteraemia after urodynamic study

ABSTRACT

Urodynamic studies [UDS] are multi-channel pressure flow techniques which are accepted as standard diagnostic tool in the evaluation of lower urinary tract dysfunctions. But UDS are invasive procedures that involve urethral catheterization. Further more, water or radio opaque dye are infused or pumped into the urinary bladder during UDS for pressure volume studies. This study was conducted to assess the incidence of the female urinary tract infections and bacteraemia after UDS. One hundred seventy women complaining of lower urinary dysfunction elected for UDS were enrolled in this work. Bacteriuria was detected in 13 out of 170 cases. E.coli was detected in 9 cases while coagulase negative Staphylococci was detected in 4 cases. We also found no positive blood culture after UDS without use of routine prophylactic antibiotics. There is no need to use prophylactic antibiotics before UDS as the risk of developing complication is infrequent