ANNE G. MATLOW, M.D.; SUSAN D. GOLDBERG, M.D.
To the editor: Antibiotic prophylaxis is recommended for patients with cardiac conditions that predispose to infective endocarditis after a procedure associated with bacteremia (1). Cytoscopy, prostatic surgery, urethral catheterization (especially in the presence of infection), and urinary tract surgery are genitourinary procedures for which such prophylaxis is recommended (1). Extracorporeal shock-wave lithotripsy has recently been introduced as a noninvasive treatment for urinary calculi (2). Because this therapy results in pulverization of a possibly infected stone, a potential for bacteremia exists.
The data on 80 patients treated by extracorporeal shock-wave lithotripsy at UCLA for renal and urethral stones was reviewed (3).
MATLOW AG, GOLDBERG SD. Extracorporeal Shock-Wave Lithotripsy and Prophylaxis for Endocarditis. Ann Intern Med. ;105:966–967. doi: 10.7326/0003-4819-105-6-966_2
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Published: Ann Intern Med. 1986;105(6):966-967.
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