Is Prophyilaxis Necessary after Urodynamic Tests? Our Experience

2009 ◽  
Vol 76 (2) ◽  
pp. 98-100
Author(s):  
R. Pizzorno ◽  
G. Canepa ◽  
A. Simonato ◽  
M. Esposito ◽  
T. Montanaro ◽  
...  

Urodynamic studies should be performed only on patients with sterile urine. The use of prophylaxis after urodynamic investigation is debated (positive urinoculture in 9 to 15% of cases). The Units of Urodynamics at the Urological Clinic of the University of Genoa and of the Galliera Hospital of Genoa assessed the prevalence of bacteriuria on a sample of 336 patients (314 females and 22 males), average age 62.3, between January and December 2006. All patients with sterile urine before examination underwent a complete urodynamic test. Concomitant diseases were: diabetes (7.7%), multiple sclerosis (3.5%), Parkinson's disease (1.2%), urinary retention treated by autocatheterism (1.2 %). Urinoculture was performed seven days after the urodynamic study. All patients were asymptomatic; 40/336 urinocultures were positive (E. coli 80%, Proteus M. 10%, other 10%). The prophylaxis does not eliminate but only reduces post-urodynamic infections; we believe that the cost-benefit ratio is unfavorable.

PEDIATRICS ◽  
1992 ◽  
Vol 89 (1) ◽  
pp. 169-169
Author(s):  
NORMAN J. SISSMAN

To the Editor.— Two recent reviews in Pediatrics1,2 provide much interesting information on the effect of home visits on the health of women and children. However, I was disappointed not to find in either article more than token reference to the cost of the programs reviewed. In this day of increasingly scarce health care resources, we no longer have the luxury of evaluating programs such as these without detailed consideration of their cost-benefit ratio.


2015 ◽  
Vol 48 (5) ◽  
pp. 319-323 ◽  
Author(s):  
André Hadyme Miyague ◽  
Fernando Marum Mauad ◽  
Wellington de Paula Martins ◽  
Augusto César Garcia Benedetti ◽  
Ana Elizabeth Gomes de Melo Tavares Ferreira ◽  
...  

AbstractThe authors review the main concepts regarding the importance of cleaning/disinfection of ultrasonography probes, aiming a better comprehension by practitioners and thus enabling strategies to establish a safe practice without compromising the quality of the examination and the operator productivity. In the context of biosafety, it is imperative to assume that contact with blood or body fluids represents a potential source of infection. Thus, in order to implement cleaning/disinfection practice, it is necessary to understand the principles of infection control, to consider the cost/benefit ratio of the measures to be implemented, and most importantly, to comprehend that such measures will not only benefit the health professional and the patient, but the society as a whole.


Public Choice ◽  
2018 ◽  
Vol 175 (1-2) ◽  
pp. 37-62 ◽  
Author(s):  
Isabelle Stadelmann-Steffen ◽  
Clau Dermont

1994 ◽  
Vol 10 (3) ◽  
pp. 490-497 ◽  
Author(s):  
Tom Jefferson ◽  
Vittorio Demicheli ◽  
David Wright

AbstractThe costs and benefits of vaccinating troops on United Nations tours in Yugoslavia against hepatitis A were compared. The marginal cost of one case of hepatitis A avoided by vaccination was calculated and compared with the marginal cost of achieving the same outcome by passive immunization. The cost-benefit ratio (medium estimate) for troops at low risk of contracting hepatitis A was 0.01 and for those at high risk was 0.03.Vaccinating troops against hepatitis A for a single deployment appears to be an inefficient procedure, especially in troops at low risk. However, in professional troops from countries of low hepatitis A endemicity who are likely to be involved in several operational deployments, vaccination becomes more efficient the more times the same troops are deployed.


2021 ◽  
Vol 9 (205) ◽  
pp. 1-34
Author(s):  
LARA BARBOSA DE SOUZA SANTOS

The present study makes a comparative analysis of the cost-benefit ratio between Conventional Concrete (CC) and High Performance Concrete (CAD). To obtain the consumption rates of concrete, steel and shape of each case, two studies of the same structure were carried out, changing only one variable: the characteristic strength of concrete to compression (fck). In the first case, the 25 Megapascal fck (MPa) representing the CC was applied, and in the second case, 50 MPa fck corresponding to the CAD. For analysis of the structural elements, the Cypecad Software was used. It was found that one of the initial hypotheses, that the consumption of concrete, steel and form would decrease with the use of CAD, was confirmed. The second hypothesis, that the CAD would be more financially advantageous than the CC, was not confirmed, but factors that may have led to this non-confirmation were pointed out.


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