{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T03:21:04Z","timestamp":1768274464835,"version":"3.49.0"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,3,5]],"date-time":"2014-03-05T00:00:00Z","timestamp":1393977600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Leeds Charitable Trust"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To evaluate the association between urological procedures and the development of infective endocarditis (\n                      <jats:styled-content style=\"fixed-case\">IE<\/jats:styled-content>\n                      ), as there are case\u2010reports linking urological procedures to\n                      <jats:styled-content style=\"fixed-case\">IE<\/jats:styled-content>\n                      but evidence of a causal relationship is lacking and no major guidelines advise prophylaxis to prevent development of\n                      <jats:styled-content style=\"fixed-case\">IE<\/jats:styled-content>\n                      during transurethral urological procedures. No case\u2010control study has been undertaken to examine the relationship between urological procedures and the development of\n                      <jats:styled-content style=\"fixed-case\">IE<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>\n                      Retrospective evaluation of the\n                      <jats:styled-content style=\"fixed-case\">IE<\/jats:styled-content>\n                      database at our institution.\n                    <\/jats:p>\n                    <jats:p>\n                      The population consisted of patients diagnosed with enterococcal, staphylococcal,\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                        treptococcus bovis\n                      <\/jats:italic>\n                      \u2010group and oral streptococcal\n                      <jats:styled-content style=\"fixed-case\">IE<\/jats:styled-content>\n                      over a 10\u2010year period.\n                    <\/jats:p>\n                    <jats:p>\n                      Possible risk factors for the development of\n                      <jats:styled-content style=\"fixed-case\">IE<\/jats:styled-content>\n                      , including urological procedures were collected.\n                    <\/jats:p>\n                    <jats:p>A case\u2010control design was used and univariable and multivariable analyses were carried out. Missing data was accounted for using the multiple imputations method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We included 384 patients with\n                      <jats:styled-content style=\"fixed-case\">IE<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                    <jats:p>\n                      There was a statistical association between the development of enterococcal\n                      <jats:styled-content style=\"fixed-case\">IE<\/jats:styled-content>\n                      and preceding urological procedures (odds ratio 8.21, 95% confidence interval 3.54\u201319.05,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                    <jats:p>\n                      Increasing age and being an intravenous drug user were also associated with enterococcal\n                      <jats:styled-content style=\"fixed-case\">IE<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                    <jats:p>\n                      Haemodialysis and the presence of an intracardiac device were associated with the development of coagulase\u2010negative staphyloccal\n                      <jats:styled-content style=\"fixed-case\">IE<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      This is the first study to show a statistical association between urological procedures and the development of\n                      <jats:styled-content style=\"fixed-case\">IE<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                    <jats:p>\n                      The bacteraemia leading to\n                      <jats:styled-content style=\"fixed-case\">IE<\/jats:styled-content>\n                      may be a result of the urological procedures or a consequence of the underlying urological pathology causing recurrent subclinical bacteraemias.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.12550","type":"journal-article","created":{"date-parts":[[2013,11,1]],"date-time":"2013-11-01T09:51:44Z","timestamp":1383299504000},"page":"118-124","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["A case\u2010control study: are urological procedures risk factors for the development of infective endocarditis?"],"prefix":"10.1111","volume":"114","author":[{"given":"Amar R.","family":"Mohee","sequence":"first","affiliation":[{"name":"Department of Urology The Salford Royal NHS Trust  Salford 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