Evidence map›Paper›PMID 30074062›Full record

ArticleInternational urogynecology journal2019

What is the ideal antibiotic prophylaxis for intravesically administered Botox injection? A comparison of two different regimens.

Justin Houman, Ariel Moradzadeh, Devin N Patel, Kian Asanad, Jennifer T Anger, Karyn S Eilber

3 registry-linked trialsAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05519072 phase4recruitingnot on this mapstarted 2022, after this paper: background citation

Use of Prophylactic Antibiotics Prior to OnabotulinumtoxinA Treatment of Overactive Bladder: a Randomized Controlled Trial

TypeinterventionalSponsorAtlantic Health SystemRan2022 to 2024Enrolled140ConditionsAntibiotic ProphylaxisArmsNitrofurantoin
NCT06387329 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Urinary Tract Infection Prophylaxis In Intradetrusor OnabotulinumtoxinA Procedures: A Randomized Controlled Trial

TypeinterventionalSponsorWalter Reed National Military Medical CenterRan2024 to 2025Enrolled100ConditionsOveractive Bladder, Bladder Pain SyndromeArmsNitrofurantoin 100 MG
NCT06953271 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Methenamine Hippurate Compared to Typical Antibiotic Prophylaxis in the Prevention of Urinary Tract Infection Following Intradetrusor OnabotulinumtoxinA Injection for Treatment of Overactive Bladder: a Randomized Controlled Non-Inferiority Trial

TypeinterventionalSponsorWomen and Infants Hospital of Rhode IslandRan2025 to 2027Enrolled164ConditionsOveractive Bladder (OAB), Urinary Tract Infection (Diagnosis)ArmsMethenamine Hippurate, Typically prescribed oral antibiotic prophylaxis
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Intravesical botulinum toxin: Practice patterns from a survey of Canadian urologists.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Article
  6. Article
  7. Observational
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Justin HoumanDepartment of Surgery, Division of Urology, Cedars-Sinai Medical Center, 8635 W. Third St., West Medical Office Tower, Suite 1070W, Los Angeles, CA, 90048, USA. Justin.houman@cshs.org.ORCID 0000-0003-3503-6014
Ariel MoradzadehDepartment of Surgery, Division of Urology, Cedars-Sinai Medical Center, 8635 W. Third St., West Medical Office Tower, Suite 1070W, Los Angeles, CA, 90048, USA.
Devin N PatelDepartment of Surgery, Division of Urology, Cedars-Sinai Medical Center, 8635 W. Third St., West Medical Office Tower, Suite 1070W, Los Angeles, CA, 90048, USA.
Kian AsanadDavid Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Jennifer T AngerDepartment of Surgery, Division of Urology, Cedars-Sinai Medical Center, 8635 W. Third St., West Medical Office Tower, Suite 1070W, Los Angeles, CA, 90048, USA.
Karyn S EilberDepartment of Surgery, Division of Urology, Cedars-Sinai Medical Center, 8635 W. Third St., West Medical Office Tower, Suite 1070W, Los Angeles, CA, 90048, USA.
Cedars-Sinai Medical Center · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOnabotulinum toxin A (Botox®) administered intravescially is an effective treatment for idiopathic detrusor overactivity, of which urinary tract infections (UTIs) are a common complication. The purpose of this study was to compare two prophylactic antibiotic regimens with the goal of decreasing UTI rates following intravesically administered Botox® injection. MATERIALS AND

methodsA retrospective review of two groups of patients undergoing intravesically administered Botox® injections was performed-one with idiopathic and one with neurogenic detrusor overactivity. One group received a dose of ceftriaxone intramuscularly (IM) at the time of Botox® injection, and a second group received a 3-day course of a fluoroquinolone orally starting the day before the procedure. The rate of postprocedure UTI was examined using a χ

resultsBotox® injections were performed on 284 patients: 236 received a single dose of ceftriaxone IM and 48 received 3 days of a fluoroquinolone orally. The UTI rate was significantly lower in the fluoroquinolone group (20.8%) vs. the cephalosporin group (36%), p = 0.04. Predictors of postprocedure UTIs included single dose of antibiotics IM [odds ratio (OR 2.80, p = 0.02] and a positive preprocedure urine culture (OR 1.31, p = 0.03).

conclusionsWe found a significantly lower rate of UTIs when patients received a 3-day course of a fluoroquinolone orally as opposed to a single dose of a third-generation cephalosporin IM. Patients with a positive preprocedure culture might benefit from an even longer duration of antibiotics at the time of Botox® injection.

Indexed as

Administration, IntravesicalAdministration, OralAnti-Bacterial AgentsAntibiotic ProphylaxisBotulinum Toxins, Type ACeftriaxoneFemaleFluoroquinolonesHumansInjectionsMaleNeuromuscular AgentsRetrospective StudiesUrinary Bladder, OveractiveUrinary Tract InfectionsAnti-Bacterial AgentsBotulinum Toxins, Type ACeftriaxoneFluoroquinolonesNeuromuscular Agentsonabotulinum toxin ABotox® injectionIntravesicalOveractive bladderUrinary tract infection

Identifiers

PMID30074062
OpenAlexW2886716914

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.