Prostate Biopsy-related Infection: A Systematic Review of Risk Factors, Prevention Strategies, and Management Approaches
| Autor: | Kurt G. Naber, Harrison Y. Bennett, Michael Holmes, Florian M.E. Wagenlehner, Jeremy Grummet, Matthew J. Roberts, Patrick N A Harris |
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| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Adult Male medicine.medical_specialty Prostate biopsy Bacteriuria Urology Biopsy 030106 microbiology 030232 urology & nephrology 03 medical and health sciences 0302 clinical medicine Patient Admission Postoperative Complications Prostate Risk Factors Drug Resistance Bacterial medicine Humans Antibiotic prophylaxis Intensive care medicine Aged Cross Infection Travel medicine.diagnostic_test Genitourinary system business.industry Prostatic Neoplasms Antibiotic Prophylaxis Middle Aged medicine.disease Surgery Anti-Bacterial Agents Hospitalization medicine.anatomical_structure Transrectal biopsy Approaches of management business Fluoroquinolones |
| Zdroj: | Urology. 104 |
| ISSN: | 1527-9995 |
| Popis: | A systematic review to identify risk factors for prostate biopsy-related infection, preventative strategies, and optimal management of infectious complications was conducted. Significant risk factors for postbiopsy infection include urogenital infection, antibiotic use, international travel, hospital exposure, bacteriuria, previous transrectal biopsy, and resistance of fecal flora to antibiotic prophylaxis (especially fluoroquinolones). Patients at risk may benefit from an adjusted biopsy protocol comprising transrectal biopsy under targeted prophylaxis, and/or the use of rectal disinfection techniques or using a transperineal approach. Management of biopsy-related infection should be based on individual risk and local resistance profiles with input from multiple specialties. |
| Databáze: | OpenAIRE |
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