Profilaxis antibiótica en la biopsia transrectal de próstata

Vélez, Daniel M.; Vicens, Antoni; Moragues, Mariano Ozonas

doi:10.4321/s0210-48062009000800004

Cited by 4 publications

(1 citation statement)

References 30 publications

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“…This procedure has several minor and major known complications including infection that manifests clinically as fever, chills and dysuria (1). Antibiotic premedication is used routinely to decrease this complication (2, 3, 4), but despite the use of antibiotics, infection develops in many patients with various degrees, from pyuria without clinical symptoms to life-threatening septicemia (5, 6, 7). Different additional methods have been studied for reducing the rate of infection following TRUS guided biopsy including the use of cleansing enema before the procedure (8, 9, 10, 11, 12, 13, 14, 15).…”

Section: Introductionmentioning

confidence: 99%

Decrease in Infection Rate Following Use of Povidone-Iodine During Transrectal Ultrasound Guided Biopsy of the Prostate: A Double Blind Randomized Clinical Trial

Ghafoori¹,

Shakiba

Seifmanesh

et al. 2012

Iran J Radiol

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BackgroundInfection after transrectal ultrasound (TRUS) guided biopsy of the prostate is a major and potentially life-threatening problem. Using antibiotic premedication can not completely eliminate infection after biopsy.ObjectivesWe performed this study to determine the value of using povidone-iodine in prevention of post biopsy infection.Patients and MethodsTotally, 280 patients who were referred for TRUS guided biopsy of the prostate were divided randomly into two equal groups. The case group received an intrarectal mixture of povidone-iodine and lidocaine gel before performing biopsy, while the control group received only lidocaine gel. Patients were followed up for 30 days for possible signs of infection including fever, chills and dysuria.ResultsThe mean age in the case group was 68.7 ± 7 years and 68.1 ± 7 years in the control group (P = 0.78). Overall, there were signs and symptoms of infection in 78 patients (27.9%), of which 27 (19.3%) were in the case group, while 51 (36.4%) were in the control group (P = 0.001, OR = 2.4, 95% CI = 1.4-4.1).ConclusionSimple use of widely available povidone-iodine for cleaning the rectum before TRUS guided prostate biopsy can reduce the infection rate.

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Section: Introductionmentioning

confidence: 99%

Decrease in Infection Rate Following Use of Povidone-Iodine During Transrectal Ultrasound Guided Biopsy of the Prostate: A Double Blind Randomized Clinical Trial

Ghafoori¹,

Shakiba

Seifmanesh

et al. 2012

Iran J Radiol

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Morbilidad y factores de riesgo de la biopsia transrectal prostática

Alarcón

González

Cubillana

et al. 2010

Actas Urológicas Españolas

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The complications of the transrectal biopsy of the prostate are frequent, autolimited and they rarely suppose a health hazard for the patients. The most frequent are haematuria and hemospermia, specially in younger patients, whereas infectious complications are rarer and in our study are more frequent in patients with smaller prostates. We must take into account that the information to the patient is very important after a prostate biopsy, so we can avoid useless consultations (for example with haematuria) and it will enable to identify important signs like fever earlier.

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