A Questionnaire Survey of Antimicrobial Prophylaxis to Prevent Perioperative Infection in Urological Field in Japan

Togo, Yoshikazu; Taoka, Rikiya; Yamamoto, Shingo; Hiyama, Yoshiki; Uehara, Teruhisa; Hashimoto, Jiroh; Kurimura, Yuichiro; Takahashi, Satoshi; Tsukamoto, Taiji; Miyazaki, Jun; Nishiyama, Hiroyuki; Kiyota, Hiroshi; Yazawa, Satoshi; Oya, Mototsugu; Yasuda, Mitsuru; Deguchi, Takashi; Ishikawa, Kiyohito; Hoshinaga, Kiyotaka; Matsumoto, Minori; Shigemura, Katsumi; Tanaka, Kazushi; Arakawa, Soichi; Fujisawa, Masato; Wada, Koichiro; Uehara, Shuichiro; Watanabe, Toyohiko; Kumon, Hiromi; Kobayashi, Kanao; Matsubara, Akio; Matsumoto, Masahiro; Sho, Takehiko; Hamasuna, Ryoichi; Matsumoto, Tetsuro; Hayami, Hiroshi; Yamada, Takashi; Nakagawa, Masayuki

doi:10.5980/jpnjurol.104.579

Cited by 3 publications

(7 citation statements)

References 14 publications

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“…) . In our previous study carried out in Japan in 2011, oral quinolone and intravenous cephalosporin administrations were found to be used in 37.1% and 36.0%, respectively, of transperineal biopsy cases …”

Section: Transperineal Approachmentioning

confidence: 97%

“…) . In our previous study carried out in Japan in 2011 of transrectal biopsy cases, oral quinolone and intravenous cephalosporin were used in 32.6% and 23.3%, respectively …”

Section: Transrectal Approachmentioning

confidence: 99%

“…30 In our previous study carried out in Japan in 2011 of transrectal biopsy cases, oral quinolone and intravenous cephalosporin were used in 32.6% and 23.3%, respectively. 8 Although EAU and AUA guidelines recommend trimethoprim/sulfamethoxazole or firstto third-generation cephalosporins and aminoglycoside as alternative choices, they are not recommended in the JUA guidelines, because evidence is insufficient. In order to confirm the effectiveness of PIPC/ TAZ, a multicenter collaborative research was carried out at JRGU between 2009 and 2012.…”

Section: Antibiotics For Preventionmentioning

confidence: 99%

“…The two approaches available for a prostate biopsy are transrectal and transperineal, though the former is the primary procedure generally used worldwide. In Japan as well, a transrectal procedure is the first choice, whereas transperineal procedures are carried out in approximately 25% of qualified institutions . It is thought that the presence of resistant bacteria in rectal flora affects the onset of infectious diseases after a biopsy, as the device utilized transits through the rectum in a transrectal procedure.…”

Section: Introductionmentioning

confidence: 99%

“…In Japan as well, a transrectal procedure is the first choice, whereas transperineal procedures are carried out in approximately 25% of qualified institutions. 8 It is thought that the presence of resistant bacteria in rectal flora affects the onset of infectious diseases after a biopsy, as the device utilized transits through the rectum in a transrectal procedure. In contrast, a transperineal procedure does not involve the rectum, thus it is not affected by resistant bacteria harbored there.…”

Section: Introductionmentioning

confidence: 99%

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Prevention of infectious complications after prostate biopsy procedure

Togo

Yamamoto

2017

Int J of Urology

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Although febrile complications are rarely encountered after a prostate biopsy procedure, in recent years the number of cases of fatal infection after that have increased along with increases in resistant bacteria. The available biopsy approaches are transrectal and transperineal, with the transrectal approach primarily used. As the invasion path of the puncture needle differs between these approaches, pretreatment and the method of administration of preventive antimicrobial drugs should be separately considered for infection prevention. Recently, the Japanese guidelines for perioperative infection prevention in the field of urology were revised after receiving approval from the Japanese Urological Association. With use of the transrectal approach, attempts have been made to selectively administer prophylactic antibiotics by confirming the presence or absence of resistant bacteria in rectal swab culture results before carrying out a prostate biopsy procedure because of potential problems associated with resistant bacteria in rectal flora. For preventive antibiotics, a single dose of oral quinolone is recommended for patients with low risk, whereas daily administrations of piperacillin/ tazobactam are recommended for those considered to be high risk. In contrast, for the transperineal procedure, a single dose of oral quinolone is recommended as a preventive antibiotic. With both approaches, it is important to empirically administer broad-spectrum antimicrobials when occurrence of a febrile infection after a prostate biopsy procedure is confirmed.

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Section: Transperineal Approachmentioning

confidence: 97%

“…) . In our previous study carried out in Japan in 2011 of transrectal biopsy cases, oral quinolone and intravenous cephalosporin were used in 32.6% and 23.3%, respectively …”

Section: Transrectal Approachmentioning

confidence: 99%

Section: Antibiotics For Preventionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevention of infectious complications after prostate biopsy procedure

Togo

Yamamoto

2017

Int J of Urology

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Antimicrobial stewardship in urology

Deguchi

Matsumoto

2014

Int J of Urology

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The emergence and spread of antibiotic-resistant bacteria have been reported for various infections. Infections caused by such bacteria are associated with higher rates of patient morbidity and mortality, and increased healthcare costs. In our urological community, we have observed fluoroquinolone resistance in clinical strains of Escherichia coli isolated even from young women with acute uncomplicated cystitis. 1 We have increasingly encountered some bacterial species that produce an extended spectrum β-lactamase in patients with complicated urinary tract infections.2 In male urethritis, oral regimens of fluoroquinolones or third-generation cephalosporins are no longer recommended for treatment of gonorrhea because of antibioticresistant Neisseria gonorrhoeae. 3In the urological community, clinical practice guidelines exist for antibiotic treatment and prophylaxis. The 2006 guidelines for perioperative antimicrobial prophylaxis in urological surgery were approved by the Japanese Urological Association (JUA).4 A survey on antimicrobial prophylaxis reported that of the principal JUA-certified urological training institutions, 6.5% "completely" and 69.7% "mainly" followed the guidelines. However, the guidelines were followed in 48.5% of open clean operations, 43.2% of prostate biopsies and 42.2% of cystoscopies.

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Use of Prophylactic Antibiotics to Prevent Urinary Tract Infection after Urodynamic Testing and Cystoscopy in Women: A Practice Pattern Study

Benseler

McDermott

2022

Gynecol Obstet Invest

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Objectives: To determine practice patterns of prescribing prophylactic antibiotics against urinary tract infection (UTI) for urodynamic studies (UDS) and outpatient cystoscopy in women. Design: A cross-sectional survey study was conducted of North American female pelvic medicine and reconstructive specialists (FPMRS). Methods: An online survey was used to assess prophylactic prescribing patterns of FPMRS specialists that perform UDS and outpatient cystoscopy. This survey was developed and then electronically disseminated through the American Urogynecologic Society to 699 eligible physicians. Results: A total of 138 surveys were completed. Approximately half of physicians did not prescribe any antibiotic prophylaxis for UDS or for cystoscopy (54% and 43%, respectively). For patients with perceived risk factors (recurrent urinary tract infections, immunosuppression, known neurogenic lower urinary tract dysfunction, indwelling catheter use, elevated post void residual/bladder outlet obstruction, genitourinary anomalies, and diabetes), 32% and 41% of physicians prescribed antibiotic prophylaxis for UDS and cystoscopy, respectively. A minority of physicians always prescribed antibiotics for UDS and cystoscopy (13% and 17%, respectively). Limitations: The response rate was a limitation of the study, however, this rate is in keeping with other physician survey studies published within this subspecialty. Selection and response biases may have contributed to the results of this survey study. Conclusion: There was no uniform approach to urinary tract infection prophylaxis for UDS and outpatient cystoscopy in women which reflects the lack of current guidelines and the low level of evidence on which they are based. This non-uniform practice calls for more research to better define an evidence-based standard of care.

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A Questionnaire Survey of Antimicrobial Prophylaxis to Prevent Perioperative Infection in Urological Field in Japan

Cited by 3 publications

References 14 publications

Prevention of infectious complications after prostate biopsy procedure

Prevention of infectious complications after prostate biopsy procedure

Antimicrobial stewardship in urology

Use of Prophylactic Antibiotics to Prevent Urinary Tract Infection after Urodynamic Testing and Cystoscopy in Women: A Practice Pattern Study

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