Clinical comparison of the efficacy of three different bowel preparation methods on the infectious complications following transrectal ultrasonography‐guided prostate biopsy in nursing practice

Zhang, Xinhong; Jia, Yong; Guo, Weihua; Ma, Yurong; Yang, Jing; Zhang, Yu; Hou, Shaozhen; Zhang, Changcun

doi:10.1111/jocn.13854

Cited by 6 publications

(2 citation statements)

References 32 publications

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“…Mild complications can be resolved without treatment; however, serious ones may require surgical intervention (26). Common complications that occur during puncture are the vasovagal reflex, urethral hemorrhage, dysuria, acute urinary retention, hemospermia and infection (27). The vasovagal reflex manifests as palpitations, cold sweats and a drop in blood pressure, and a longer operation time increases the probability of developing this complication (28).…”

Section: Discussionmentioning

confidence: 99%

Preliminary study on ultrasound-guided prostate biopsy specimen scores

Zhan

Zhang

et al. 2017

Experimental and Therapeutic Medicine

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Abstract. Prostate cancer (PCa) is the second most frequently diagnosed cancer in males worldwide and resulted in ~258,000 cases of cancer-associated mortality in 2008. The present study visually determined the pathology scores of PCa specimens by taking into account five characteristics, including the hardness, color, plumpness, transparency and uniformity of specimens. The current study also aimed to identify the association between pathology scores and prostate specific antigen (PSA) levels, in order to reduce the complications caused by punctures and elevate the specimen positive rates. A total of 1,608 specimens from 268 patients were analyzed by one sonographer, one urologist and one pathologist. A standard pathological examination was performed on the PCa biopsy specimens and specimen scores were recorded under double-blinded conditions. A receiver operator characteristic curve identified a linear correlation between the visually determined score and PSA levels (r=0.255; P<0.001). Furthermore, logistic regression analysis indicated that the visually determined score and PSA were correlated with the diagnosis of PCa. Additionally, the authenticity of the visually determined score was higher than PSA in the diagnosis of PCa, with the best sensitivity and specificity of the visually determined scores used to predict PCa being 0.817 and 0.931, respectively.

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Section: Discussionmentioning

confidence: 99%

Preliminary study on ultrasound-guided prostate biopsy specimen scores

Zhan

Zhang

et al. 2017

Experimental and Therapeutic Medicine

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“… 4 Chiang et al 9 studied 3,694 Chinese prostate cancer patients and revealed that the rate of complications after prostate biopsy was 1.98%. A retrospective study 10 from China that included 1,130 patients who underwent prostate biopsy demonstrated that the overall infectious complications rate was 4.25% after prostate biopsy. These infectious complications included 26 (2.30%) cases of urinary tract infection, 22 (1.95%) cases of fever, but no cases of sepsis.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for infectious complications following transrectal ultrasound-guided prostate biopsy

Wu¹,

Li²,

Ke³

et al. 2018

IDR

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ObjectiveTo explore risk factors of infectious complications following transrectal ultrasound-guided prostate biopsy (TRUSPB).MethodsWe retrospectively analyzed 1,203 patients with suspected prostate cancer who underwent TRUSPB at our center between December 2012 and December 2016. Demographics, clinical characteristics, and data regarding complications were collected, and then univariate and multivariate logistic regression analyses were used to identify independent risk factors for infectious complications after prostate biopsy.ResultsMultivariate logistic analysis demonstrated that body mass index (BMI) (OR=2.339, 95% CI 2.029–2.697, P<0.001), history of diabetes (OR=2.203, 95% CI 1.090–4.455, P=0.028), and preoperative catheterization (OR=2.303, 95% CI 1.119–4.737, P=0.023) were risk factors for infection after prostate biopsy. The area under the receiver operating characteristics curve for infectious complications was 0.930 (95% CI 0.907–0.953, P<0.001). BMI=28.196 kg/m2 was the best cut-off threshold for predicting infection after TRUSPB.ConclusionBMI >28.196 kg/m2, history of diabetes, and preoperative catheterization are independent risk factors for infection after prostate biopsy.

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Topical rectal antiseptic at time of prostate biopsy: how a resident patient safety project has evolved into institutional practice

et al. 2018

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Clinical comparison of the efficacy of three different bowel preparation methods on the infectious complications following transrectal ultrasonography‐guided prostate biopsy in nursing practice

Abstract: Findings of this study provide useful evidence-based information for healthcare professionals. The application of combined preparation regimens of polyethylene glycol with povidone-iodine enema resulted in better improvement in the prevention of postbiopsy infection.

Cited by 6 publications

References 32 publications

Preliminary study on ultrasound-guided prostate biopsy specimen scores

Preliminary study on ultrasound-guided prostate biopsy specimen scores

Risk factors for infectious complications following transrectal ultrasound-guided prostate biopsy

Topical rectal antiseptic at time of prostate biopsy: how a resident patient safety project has evolved into institutional practice

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