Performing urology procedure in positive urine culture as a research : is that ethical

Document Type : Editorial


1 Urology Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran

2 Mashhad University of Medical Sciences, Mashhad, Iran



We read the interesting article review article entitled “Risk of infection in patients undergoing urologic surgery based on the presence of asymptomatic bacteriuria: A prospective study.” by Ramos-Castaneda et. al., published in The American journal of infection control (2019). We want to congratulate the authors for this article, and make some contributions. The author conducted a prospective cohort study to investigate the association between postoperative infectious complications in patients undergoing urologic procedures based on the presence of ASB (asymptomatic bacteriuria).
The advantages of this study is not only the method of blinding by using alternative infectious diseases physician, but also the idea was unique. When we read this article we thinking about more important risk factors rather than ASB.
Although This study was approved by the Universidad CES Research Ethics Committee, we should think about its ethical problems. In latest European Urology guideline it was recommended that ASB should be treated in two groups: pregnant women and before urologic procedures.