Publications by authors named "S E Ashmore"

Background: Midstream urine (MSU) samples are commonly collected at the time of patient evaluation despite known high rates of contamination.

Objective: The primary objective of this study was to evaluate the rate of mixed flora results in urine specimens obtained by MSU compared to straight catheterization urine (SCU).

Study Design: This was a quality improvement project evaluating urine culture results of women who provided either an MSU or SCU sample for analysis.

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Importance: Literature surrounding conservative management of voiding dysfunction (VD) due to pelvic organ prolapse (POP) is limited.

Objective: The objective of this study was to evaluate the effect of pessaries on VD in women with symptomatic POP.

Study Design: This was a retrospective case series of adult women who underwent a pessary fitting for POP and VD between January 2010 to December 2022 at 2 tertiary care centers.

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Importance: There are limited data to guide practices to reduce surgical site infections following sacral neuromodulation; however, many surgeons prescribe prophylactic postoperative antibiotics after device implantation.

Objective: The aim of the study was to compare the proportion of patients with sacral neuromodulation device-associated surgical site infections after use of prophylactic postoperative antibiotics versus none.

Study Design: This was a multicenter retrospective cohort study of patients undergoing sacral neuromodulation device implantation at 11 institutions from January 2014 to December 2023, comparing outcomes in patients who did versus did not receive prophylactic postoperative antibiotic treatment.

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Importance: Urinary tract infection (UTI) is the most common complication of intradetrusor onabotulinumtoxinA (BTX-A) injection. Despite this, there are no evidence-based guidelines on antibiotic prophylaxis.

Objectives: Our primary aim was to determine whether antibiotic prophylaxis decreased symptomatic, culture-proven UTI rates within 6 weeks of intradetrusor BTX-A injection.

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Article Synopsis
  • - The study aimed to analyze adherence rates among women using non-antibiotic methods (like methenamine hippurate, D-mannose, and vaginal estrogen) to prevent recurrent urinary tract infections (rUTIs) and examine factors influencing adherence.
  • - A total of 90 women participated, with only 37% adhering to their prescribed regimens, and vaginal estrogen being the most frequently prescribed treatment.
  • - Findings indicated that adherence to these non-antibiotic treatments is relatively low, with no specific demographic or clinical factors identified as predictors of compliance, suggesting the need for healthcare providers to check on adherence levels before changing treatment plans.
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