{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T08:24:58Z","timestamp":1788942298121,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T00:00:00Z","timestamp":1710806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study was to reduce the incidence of urinary tract infection (UTI) in women undergoing outpatient cystoscopy and\/or urodynamic studies (UDS) at our centre by identifying and then altering modifiable risk factors through an analysis of incidence variability among physicians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a quality improvement study involving adult women undergoing outpatient cystoscopy and\/or UDS at an academic tertiary urogynecology practice. Prophylactic practices for cystoscopy\/UDS were surveyed and division and physician\u2010specific UTI rates following cystoscopy\/UDS were established. In consultation with key stakeholders, this delineated change concepts based on associations between prophylactic practices and UTI incidence, which were then implemented while monitoring counterbalance measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two \u201cPlan\u2010Do\u2010Study\u2010Act\u2010Cycles\u201d were conducted whereby 212 and 210 women were recruited, respectively. Change concepts developed and implemented were: (1) to perform routine urine cultures at the time of these outpatient procedures, and (2) to withhold routine prophylactic antibiotics for outpatient cystoscopy\/UDS, except in patients with signs of cystitis. There was no change in the incidence of early presenting UTI (9.0% vs. 9.2%, <jats:italic>p<\/jats:italic>\u2009=\u20090.680), but there were significantly fewer antibiotic\u2010related adverse events reported (8.5% vs. 1.5%, <jats:italic>p<\/jats:italic>\u2009=\u20090.001). There was no significant change in the total incidence of UTI rates between cycles (7.8% vs. 5.6%, <jats:italic>p<\/jats:italic>\u2009=\u20090.649).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>No specific strategies to decrease the incidence of UTI following outpatient cystoscopy\/UDS were identified, however, risk factor\u2010specific antibiotic prophylaxis, as opposed to universal antibiotic prophylaxis, did not increase UTI incidence.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25447","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T10:12:41Z","timestamp":1710843161000},"page":"883-892","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Optimizing practices to prevent urinary tract\u00a0infection after cystoscopy and urodynamics in women: A quality improvement study"],"prefix":"10.1002","volume":"43","author":[{"given":"Anouk","family":"Benseler","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Tomlinson","sequence":"additional","affiliation":[{"name":"Department of Medicine University Health Network and Mount Sinai Hospital; Institute of Health Policy, Management and Evaluation, University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danny","family":"Lovatsis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Toronto Toronto Ontario Canada"},{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Mount Sinai Hospital University of Toronto Toronto Ontario 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