2017
DOI: 10.1016/j.urology.2016.12.011
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Prostate Biopsy-related Infection: A Systematic Review of Risk Factors, Prevention Strategies, and Management Approaches

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Cited by 111 publications
(99 citation statements)
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“…Fewer strategies that are aimed at reducing the bacterial load in the passage of the biopsy needle through the bowel are reported compared with antimicrobial‐related studies. However, a meta‐analysis of seven controlled trials ( n = 2049) of rectal disinfection using povidone‐iodine rectal preparation before biopsy have shown significant reductions in fever, bacteriuria and bacteremia regardless of the prophylaxis used . Targeted antibiotic coverage based on rectal cultures has been pursued as an alternative strategy and complies with antibiotic stewardship.…”
Section: Discussionmentioning
confidence: 99%
“…Fewer strategies that are aimed at reducing the bacterial load in the passage of the biopsy needle through the bowel are reported compared with antimicrobial‐related studies. However, a meta‐analysis of seven controlled trials ( n = 2049) of rectal disinfection using povidone‐iodine rectal preparation before biopsy have shown significant reductions in fever, bacteriuria and bacteremia regardless of the prophylaxis used . Targeted antibiotic coverage based on rectal cultures has been pursued as an alternative strategy and complies with antibiotic stewardship.…”
Section: Discussionmentioning
confidence: 99%
“…Additionally, TRUSBP can lead to complications such as hematuria, hematospermia, rectal bleeding, prostatitis, epididymitis, sepsis, and urinary retention 24, 25, 26. Therefore, each TRUSBP constitutes a risk in terms of complications.…”
Section: Discussionmentioning
confidence: 99%
“…Transrectal ultrasound‐guided prostate biopsy (TRUSPB) is the most common method of prostate cancer detection . Concern regarding TRUSPB‐related infections despite antimicrobial prophylaxis, chiefly due to the development of fluoroquinolone (FQ) resistance, has prompted the development of adjunct prophylaxis methods and biopsy approaches .…”
mentioning
confidence: 99%
“…Transrectal ultrasound‐guided prostate biopsy (TRUSPB) is the most common method of prostate cancer detection . Concern regarding TRUSPB‐related infections despite antimicrobial prophylaxis, chiefly due to the development of fluoroquinolone (FQ) resistance, has prompted the development of adjunct prophylaxis methods and biopsy approaches . Fosfomycin trometamol (FT) has long been used in the USA and Europe with broad‐spectrum bactericidal coverage and adequate prostatic soft tissue concentrations, and has been shown to reduce TRUSPB‐related infections compared with FQ‐based prophylaxis …”
mentioning
confidence: 99%
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