Table 2.

Stent Removal Characteristics

Preprotocol (n = 88)Protocol (n = 151)P Value
Time to stent removal, d36 (32–40)25 (23–31)<.001
Stent removed while patient was hospitalized21 (23.9)32 (21.2).632
Urinalysis within 30 d prior to stent removal65 (73.9)111 (73.5).302
 >20 WBCs10 (15.4)8 (7.2).087
 10–20 WBCs24 (36.9)52 (46.8).251
 0–5 WBCs31 (47.7)51 (45.9).820
Urine culture within 30 d prior to stent removal40 (45.5)141 (94.4)<.001
 Positive urine culture5 (12.5)20 (14.2).080
 Organisms growing in most recent urine culture prior to stent removala
  Enterococcus spp3 (7.5)8 (5.7).751
  Escherichia coli1 (2.5)5 (3.5).418
  Gardnerella vaginalis03 (2.0).299
  Citrobacter spp1 (2.5)1 (0.7)>.999
  Klebsiella spp (excluding K aerogenes)1 (2.5)0.368
  Pseudomonas spp01 (0.7)>.999
  Morganella morganii01 (0.7)>.999
  Candida glabrata01 (0.7)>.999
  Other01 (0.7)>.999
  No growth or mixed flora without specific organism identified35 (87.5)120 (85.1)<.001
Received antibiotics preprocedurea,b32 (36.4)150 (99.3)<.001
 Cephalexin8 (25.0)114 (76.0)<.001
 Cefazolin10 (31.3)14 (9.3).604
 Ciprofloxacin6 (18.9)7 (4.7).473
 Levofloxacin07 (4.7).049
 Cefdinir04 (2.7)<.001
 Cefepime3 (9.4)4 (2.7).710
 Amoxicillin04 (2.7).161
 Vancomycin1 (3.1)4 (2.7).654
 Tobramycin04 (2.7).300
 Gentamicin3 (9.4)2 (1.3).360
 Otherc5 (15.6)7 (4.7).764
TMP-SMX for prophylaxis at time of stent removald81 (92.0)135 (89.4).651
Received antibiotics postprocedure10 (11)29 (19).148
 Duration of antibiotics postprocedure, d4 (2–15)4 (2–7)
Preprotocol (n = 88)Protocol (n = 151)P Value
Time to stent removal, d36 (32–40)25 (23–31)<.001
Stent removed while patient was hospitalized21 (23.9)32 (21.2).632
Urinalysis within 30 d prior to stent removal65 (73.9)111 (73.5).302
 >20 WBCs10 (15.4)8 (7.2).087
 10–20 WBCs24 (36.9)52 (46.8).251
 0–5 WBCs31 (47.7)51 (45.9).820
Urine culture within 30 d prior to stent removal40 (45.5)141 (94.4)<.001
 Positive urine culture5 (12.5)20 (14.2).080
 Organisms growing in most recent urine culture prior to stent removala
  Enterococcus spp3 (7.5)8 (5.7).751
  Escherichia coli1 (2.5)5 (3.5).418
  Gardnerella vaginalis03 (2.0).299
  Citrobacter spp1 (2.5)1 (0.7)>.999
  Klebsiella spp (excluding K aerogenes)1 (2.5)0.368
  Pseudomonas spp01 (0.7)>.999
  Morganella morganii01 (0.7)>.999
  Candida glabrata01 (0.7)>.999
  Other01 (0.7)>.999
  No growth or mixed flora without specific organism identified35 (87.5)120 (85.1)<.001
Received antibiotics preprocedurea,b32 (36.4)150 (99.3)<.001
 Cephalexin8 (25.0)114 (76.0)<.001
 Cefazolin10 (31.3)14 (9.3).604
 Ciprofloxacin6 (18.9)7 (4.7).473
 Levofloxacin07 (4.7).049
 Cefdinir04 (2.7)<.001
 Cefepime3 (9.4)4 (2.7).710
 Amoxicillin04 (2.7).161
 Vancomycin1 (3.1)4 (2.7).654
 Tobramycin04 (2.7).300
 Gentamicin3 (9.4)2 (1.3).360
 Otherc5 (15.6)7 (4.7).764
TMP-SMX for prophylaxis at time of stent removald81 (92.0)135 (89.4).651
Received antibiotics postprocedure10 (11)29 (19).148
 Duration of antibiotics postprocedure, d4 (2–15)4 (2–7)

Data are presented as median (IQR) or No. (%).

Abbreviations: TMP-SMX: trimethoprim-sulfamethoxazole; WBC, white blood cell.

aNot mutually exclusive.

bDoes not include TMP-SMX for prophylaxis.

cAmoxicillin-clavulanate, ampicillin, ceftazidime-avibactam, ceftriaxone, clindamycin, daptomycin, ertapenem, linezolid, meropenem, metronidazole, piperacillin-tazobactam.

dTMP-SMX dosed at 80–400 mg daily (renally adjusted as needed).

Table 2.

Stent Removal Characteristics

Preprotocol (n = 88)Protocol (n = 151)P Value
Time to stent removal, d36 (32–40)25 (23–31)<.001
Stent removed while patient was hospitalized21 (23.9)32 (21.2).632
Urinalysis within 30 d prior to stent removal65 (73.9)111 (73.5).302
 >20 WBCs10 (15.4)8 (7.2).087
 10–20 WBCs24 (36.9)52 (46.8).251
 0–5 WBCs31 (47.7)51 (45.9).820
Urine culture within 30 d prior to stent removal40 (45.5)141 (94.4)<.001
 Positive urine culture5 (12.5)20 (14.2).080
 Organisms growing in most recent urine culture prior to stent removala
  Enterococcus spp3 (7.5)8 (5.7).751
  Escherichia coli1 (2.5)5 (3.5).418
  Gardnerella vaginalis03 (2.0).299
  Citrobacter spp1 (2.5)1 (0.7)>.999
  Klebsiella spp (excluding K aerogenes)1 (2.5)0.368
  Pseudomonas spp01 (0.7)>.999
  Morganella morganii01 (0.7)>.999
  Candida glabrata01 (0.7)>.999
  Other01 (0.7)>.999
  No growth or mixed flora without specific organism identified35 (87.5)120 (85.1)<.001
Received antibiotics preprocedurea,b32 (36.4)150 (99.3)<.001
 Cephalexin8 (25.0)114 (76.0)<.001
 Cefazolin10 (31.3)14 (9.3).604
 Ciprofloxacin6 (18.9)7 (4.7).473
 Levofloxacin07 (4.7).049
 Cefdinir04 (2.7)<.001
 Cefepime3 (9.4)4 (2.7).710
 Amoxicillin04 (2.7).161
 Vancomycin1 (3.1)4 (2.7).654
 Tobramycin04 (2.7).300
 Gentamicin3 (9.4)2 (1.3).360
 Otherc5 (15.6)7 (4.7).764
TMP-SMX for prophylaxis at time of stent removald81 (92.0)135 (89.4).651
Received antibiotics postprocedure10 (11)29 (19).148
 Duration of antibiotics postprocedure, d4 (2–15)4 (2–7)
Preprotocol (n = 88)Protocol (n = 151)P Value
Time to stent removal, d36 (32–40)25 (23–31)<.001
Stent removed while patient was hospitalized21 (23.9)32 (21.2).632
Urinalysis within 30 d prior to stent removal65 (73.9)111 (73.5).302
 >20 WBCs10 (15.4)8 (7.2).087
 10–20 WBCs24 (36.9)52 (46.8).251
 0–5 WBCs31 (47.7)51 (45.9).820
Urine culture within 30 d prior to stent removal40 (45.5)141 (94.4)<.001
 Positive urine culture5 (12.5)20 (14.2).080
 Organisms growing in most recent urine culture prior to stent removala
  Enterococcus spp3 (7.5)8 (5.7).751
  Escherichia coli1 (2.5)5 (3.5).418
  Gardnerella vaginalis03 (2.0).299
  Citrobacter spp1 (2.5)1 (0.7)>.999
  Klebsiella spp (excluding K aerogenes)1 (2.5)0.368
  Pseudomonas spp01 (0.7)>.999
  Morganella morganii01 (0.7)>.999
  Candida glabrata01 (0.7)>.999
  Other01 (0.7)>.999
  No growth or mixed flora without specific organism identified35 (87.5)120 (85.1)<.001
Received antibiotics preprocedurea,b32 (36.4)150 (99.3)<.001
 Cephalexin8 (25.0)114 (76.0)<.001
 Cefazolin10 (31.3)14 (9.3).604
 Ciprofloxacin6 (18.9)7 (4.7).473
 Levofloxacin07 (4.7).049
 Cefdinir04 (2.7)<.001
 Cefepime3 (9.4)4 (2.7).710
 Amoxicillin04 (2.7).161
 Vancomycin1 (3.1)4 (2.7).654
 Tobramycin04 (2.7).300
 Gentamicin3 (9.4)2 (1.3).360
 Otherc5 (15.6)7 (4.7).764
TMP-SMX for prophylaxis at time of stent removald81 (92.0)135 (89.4).651
Received antibiotics postprocedure10 (11)29 (19).148
 Duration of antibiotics postprocedure, d4 (2–15)4 (2–7)

Data are presented as median (IQR) or No. (%).

Abbreviations: TMP-SMX: trimethoprim-sulfamethoxazole; WBC, white blood cell.

aNot mutually exclusive.

bDoes not include TMP-SMX for prophylaxis.

cAmoxicillin-clavulanate, ampicillin, ceftazidime-avibactam, ceftriaxone, clindamycin, daptomycin, ertapenem, linezolid, meropenem, metronidazole, piperacillin-tazobactam.

dTMP-SMX dosed at 80–400 mg daily (renally adjusted as needed).

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