Efficacy of 1-day prophylaxis medication with fluoroquinolone for prostate biopsy

Shigemura, Katsumi; Tanaka, Kazushi; Yasuda, Mitsuru; Ishihara, Satoshi; Muratani, Tetsuro; Deguchi, Takashi; Matsumoto, Tetsuro; Kamidono, Sadao; Nakano, Yuzo; Arakawa, Soichi; Fujisawa, Masato

doi:10.1007/s00345-005-0024-4

Cited by 50 publications

(46 citation statements)

References 22 publications

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“…However, complication by urinary tract infection causing fever greater than 38°C is not uncommon, occurring in 1% to 5% of patients. 4,5,[9][10][11][12] Moreover, some cases of fatal sepsis after biopsy have been reported in Japan. 7,8 However, there is no gold standard for preparing a patient before prostate biopsy, especially regarding the use of antibiotics.…”

Section: Discussionmentioning

confidence: 98%

Acute bacterial prostatitis after transrectal prostate needle biopsy: clinical analysis

Shigehara

Miyagi

Nakashima

et al. 2008

Journal of Infection and Chemotherapy

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Section: Discussionmentioning

confidence: 98%

Acute bacterial prostatitis after transrectal prostate needle biopsy: clinical analysis

Shigehara

Miyagi

Nakashima

et al. 2008

Journal of Infection and Chemotherapy

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“…They found that asymptomatic bacteriuria rate was significantly low in the antibiotic group. Recently some randomized controlled trials showed that single or 1-day doses are as effective as 3-day doses [20][21][22] , and currently the American Urological Association recommends to use fluoroquinolone not longer than a day ( ! 24 h) [4] .…”

Section: Discussionmentioning

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

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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.

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“…This principle is relevant for out-patient settings as well. Several randomized controlled trials have documented the equivalence of single-dose or one-day regimens compared to three-day regimens for TRUSPB [6,18,19]. …”

Section: Discussionmentioning

confidence: 99%

The Value of Rectal Cultures in Treatment of Sepsis Following Post-Transrectal Ultrasound-Guided Prostate Biopsy

et al. 2015

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Background: Cases with sepsis after transrectal ultrasound-guided prostate biopsy (TRUSPB) were documented, with special focus on cultures and susceptibility of isolates. We also evaluated the contribution of concomitant rectal cultures to the treatment of selective cases. Materials and Methods: Patients with sepsis after TRUSPB were followed prospectively. Manifestations and risk factors for antimicrobial resistance were documented. Results of urine and blood cultures and antimicrobial susceptibility were recorded for all participating patients. In 40 patients, rectal swab cultures were obtained concomitantly. Results: Ninety-five patients were consecutively studied. Sepsis symptoms started showing up within 48 h after biopsy in 93% of patients. At least one of the cultures was positive in 72 patients. E. coli grew in 70 cases; isolates were highly resistant: 67% displayed multidrug-resistance. Rectal cultures grew E. coli in 38 cases. In patients with positive E. coli in rectum and in at least one additional culture (blood and/or urine), the antibiogram was identical in all cases but one. Eight cases had negative cultures. Conclusion: The prevalence of antimicrobial resistance among E. coli isolates from patients with TRUSPB sepsis was alarming. Susceptibilities of rectal E. coli isolates used for deescalation of initial empiric treatment in culture-negative TRUSPB sepsis can contribute to the reduction of broad-spectrum antibiotics exposure.

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Efficacy of 1-day prophylaxis medication with fluoroquinolone for prostate biopsy

Cited by 50 publications

References 22 publications

Acute bacterial prostatitis after transrectal prostate needle biopsy: clinical analysis

Acute bacterial prostatitis after transrectal prostate needle biopsy: clinical analysis

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

The Value of Rectal Cultures in Treatment of Sepsis Following Post-Transrectal Ultrasound-Guided Prostate Biopsy

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