The Results of the Paper by Westhoff et al. "Prospective Evaluation of Antibiotic Management in Ureteral Stent and Nephrostomy Interventions" Should Encourage Proper Use of Antimicrobial Prophylaxis in Patients Undergoing Nephrostomy Tube Replacement

Nowadays, antimicrobial resistance is challenging our health care system [3, 4]. Currently available urological guidelines mainly refer to endourologic surgery [5, 6], while the utility of antimicrobial prophylaxis in patients undergoing nephrostomy tubes and ureteral stents insertion or replacement remains an understudied topic. Given the number of these procedures performed in the daily routine of every urology department worldwide, further studies producing evidence regarding proper antimicrobial use in this setting should be encouraged in order to avoid unnecessary use of these precious drugs and help preserving their power.