Does Disposable Needle Guide Minimize Infectious Complications After Transrectal Prostate Needle Biopsy?

Tuncel, Altuğ; Aslan, Yılmaz; Sezgin, Tezcan; Aydın, Ömür; Tekdoğan, Ümit Yener; Atan, Ali

doi:10.1016/j.urology.2007.11.160

Cited by 15 publications

(11 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The probable contamination route was biopsy equipment. Tuncel et al [11] compared the postbiopsy infection rates of the reusable needle guide group and disposable needle guide group, and found that rate is significantly lower in the latter group and claimed that the reason is inadequate cleaning of the equipment after biopsy.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Does Washing the Biopsy Needle with Povidone-Iodine Have an Effect on Infection Rates after Transrectal Prostate Needle Biopsy?

Koç¹,

Ün²,

Filiz³

et al. 2010

Urol Int

View full text Add to dashboard Cite

Purpose: To determine the effect of washing the biopsy needle with povidone-iodine solution on infection rates after transrectal ultrasonography-guided prostate biopsy. Patients and Methods: 180 patients with transrectal prostate biopsy were included. Infection was excluded with midstream urine culture before biopsy, and patients were divided into two groups. In group 1 (n = 84), the needle was washed with povidone-iodine after each material reception during biopsy, and in group 2 (n = 96), it was not. At day 3 and 2 weeks after the biopsy, patients were checked. On day 3, midstream urine was cultured and patients were checked for fever, hematuria, rectal hemorrhagia, hematospermia and urinary retention. Also, the effect of rectal preparation on infection rate was evaluated. Results: There was no significant difference between the patients’ ages, PSA levels and prostate volumes. In total, 11 patients (6.1%; 4 from group 1 and 7 from group 2) developed infectious complications. There was no statistically significant difference between the groups. Fever, asymptomatic bacteriuria and urinary system infection rates were also not statistically different between the groups. The most frequent complication was hematuria with 83 cases (46.1%), but they did not need hospitalization and no patient had acute urinary obstruction. Conclusions: Washing the biopsy needle with povidone-iodine did not have an effect on the infection rates. Antibiotic prophylaxis and cleaning the biopsy equipment is adequate for low infection rates.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Some investigators claim that preparation decreases the bacteriemia rates [8,9] , but others claim that rectal preparation causes rectal irritation and promotes bacterial dissemination [10] . An ultrasound probe and reusable needle guide have also been shown to be sources of contamination [11] .…”

Section: Introductionmentioning

confidence: 99%

Does Washing the Biopsy Needle with Povidone-Iodine Have an Effect on Infection Rates after Transrectal Prostate Needle Biopsy?

Koç¹,

Ün²,

Filiz³

et al. 2010

Urol Int

View full text Add to dashboard Cite

show abstract

“…Tuncel et al (8) first reported that the use of a disposable needle guide reduces infectious complications. These authors determined that asymptomatic bacteriuria, high fever, and acute UTIs were statistically lower in the disposable group compared to the reusable group a 4.5% vs. 9%; 5% vs. 10%; and 2% vs. 9%, respectively).…”

Section: Commentsmentioning

confidence: 99%

“…The role of a disposable needle guide to reduce the infection rate has not been adequately assessed. The notion that biopsy equipment, such as reusable guides, may be important as a contamination site for bacteremia, was first evaluated by Tuncel et al (8). A disposable TRUS-probe needle guide (Matek; Geotek, Inc., Ankara, Turkey) has been developed to reduce the possible source of infectious complications and has been on the market in Turkey for 3 years.…”

Section: Introductionmentioning

confidence: 99%

Reducing infectious complications after transrectal prostate needle biopsy using a disposable needle guide: is it possible?

et al. 2011

View full text Add to dashboard Cite

Purpose: To investigate whether the use of a disposable needle guide results in a decreased incidence of infectious complication after transrectal prostate needle biopsy (TPNB). Materials and Methods: Fifty five patients who underwent 10-core TPNB were randomized into two groups. A pre-biopsy blood and urine examination was performed in both groups. Group 1 (25 patients) underwent biopsy with disposable biopsy needle guide and Group 2 (30 patients) underwent biopsy with reusable biopsy needle guide. All patients had a blood and negative urine culture before the procedure. The patients received ciprofloxacin 500 mg twice a day beginning the day before the biopsy and continued for 3 days after. Serum C-reactive protein levels and urine and blood specimens were obtained 48h after the biopsy. Primary endpoint of the study was to determine the effect of needle guide on the bacteriologic urinary tract infection (UTI) rate and secondary end point was to determine symptomatic UTI. Results: The mean age of the patients was 63.46 (range 55 to 68) years. There were no significant differences regarding the prostate-specific antigen level, prostate size, existence of comorbidity in two groups before the procedure. Bacteriologic and symptomatic UTI was detected in 4% vs. 6.6% and 4% vs. 3.9% in Group 1 and 2 relatively (P > 0.05). Conclusion: The use of a disposable needle guide does not appear to minimize infection risk after TPNB. Large scale and randomized studies are necessary to determine the effect of disposable needle guide on infection rate after TPNB.

show abstract

“…Aunque algunos autores han observado que la tasa de complicaciones infecciosas es menor con el empleo de guías desechables; son necesarios más estudios que corroboren estas observaciones 40 .…”

Section: Guías Desechablesunclassified

Profilaxis antibiótica en la biopsia transrectal de próstata

2009

View full text Add to dashboard Cite

Does Disposable Needle Guide Minimize Infectious Complications After Transrectal Prostate Needle Biopsy?

Cited by 15 publications

References 14 publications

Does Washing the Biopsy Needle with Povidone-Iodine Have an Effect on Infection Rates after Transrectal Prostate Needle Biopsy?

Does Washing the Biopsy Needle with Povidone-Iodine Have an Effect on Infection Rates after Transrectal Prostate Needle Biopsy?

Reducing infectious complications after transrectal prostate needle biopsy using a disposable needle guide: is it possible?

Profilaxis antibiótica en la biopsia transrectal de próstata

Contact Info

Product

Resources

About