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Peer-reviewedCC BYJournal of Pediatric Surgery Open

Review of antibiotic prescribing in fluoroscopic procedures and indwelling tubes in paediatric urology

  • Sharon Mohan Kunnath1
  • Ketaki Gharpure2
  • Massimo Garriboli3
  1. 1Paediatric Urology, Evelina London Children’s Hospital, London, United Kingdom; Corresponding authors.
  2. 2Paediatric Urology, Great Ormond Street Hospital for Children, London, United Kingdom; Corresponding authors.
  3. 3Paediatric Urology, Evelina London Children’s Hospital, London, United Kingdom
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Abstract

There is very little evidence-based practice when it comes to antibiotic usage in fluoroscopic procedures, instrumentation and indwelling catheters, particularly in children. Most guidelines still suggest antibiotics for these procedures but the need for antibiotic has been increasingly debated. Antibiotic stewardship is vital and awareness of the danger of antimicrobial resistance is essential. This paper focuses on evidence of antibiotic usage and utility in procedures involving fluoroscopy and urinary tract instrumentation and usage related to indwelling catheters and stents. A comprehensive literature search was conducted across six electronic databases and one clinical trial register. Forty-four studies met the inclusion criteria and were included in the systematic review. There is increasing evidence that antibiotics should be limited to selected groups of children. Judicious prescribing in high-risk groups may be the way forward, but stronger evidence is necessary to identify those groups and make recommendations.

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Cite

BibTeXRIS
BibTeX
@article{kunnath2026review,
  title = {{Review of antibiotic prescribing in fluoroscopic procedures and indwelling tubes in paediatric urology}},
  author = {Sharon Mohan Kunnath and Ketaki Gharpure and Massimo Garriboli},
  journal = {Journal of Pediatric Surgery Open},
  year = {2026},
  month = oct,
  doi = {10.1016/j.yjpso.2026.100317},
  url = {https://doi.org/10.1016/j.yjpso.2026.100317},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Review of antibiotic prescribing in fluoroscopic procedures and indwelling tubes in paediatric urology
AU  - Sharon Mohan Kunnath
AU  - Ketaki Gharpure
AU  - Massimo Garriboli
PY  - 2026
DA  - 2026/10/30
JO  - Journal of Pediatric Surgery Open
DO  - 10.1016/j.yjpso.2026.100317
UR  - https://doi.org/10.1016/j.yjpso.2026.100317
AB  - There is very little evidence-based practice when it comes to antibiotic usage in fluoroscopic procedures, instrumentation and indwelling catheters, particularly in children. Most guidelines still suggest antibiotics for these procedures but the need for antibiotic has been increasingly debated. Antibiotic stewardship is vital and awareness of the danger of antimicrobial resistance is essential. This paper focuses on evidence of antibiotic usage and utility in procedures involving fluoroscopy and urinary tract instrumentation and usage related to indwelling catheters and stents. A comprehensive literature search was conducted across six electronic databases and one clinical trial register. Forty-four studies met the inclusion criteria and were included in the systematic review. There is increasing evidence that antibiotics should be limited to selected groups of children. Judicious prescribing in high-risk groups may be the way forward, but stronger evidence is necessary to identify those groups and make recommendations.
SN  - 2949-7116
ER  -