Septic complications and hospital admissions after transrectal ultrasound-guided prostate biopsy: incidence rates and outcomes in 913 consecutive biopsies
| Autor: | Vladimir Trkulja, Branimir Lodeta |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Nephrology
Image-Guided Biopsy Male medicine.medical_specialty Prostate biopsy Urology Prostate cancer Postoperative Complications Prostate Risk Factors Internal medicine Sepsis medicine Humans Prospective Studies Septic complications prostate biopsy Ultrasonography Interventional Aged medicine.diagnostic_test business.industry Incidence (epidemiology) Incidence Rectum Prostatic Neoplasms Antibiotic Prophylaxis Prostate-Specific Antigen medicine.disease Hematochezia Ultrasound-Guided Prostate Biopsy Surgery Systemic inflammatory response syndrome Hospitalization medicine.anatomical_structure medicine.symptom business |
| Zdroj: | International urology and nephrology. 46(12) |
| ISSN: | 1573-2584 |
| Popis: | Prostate cancer is the third most common cause of cancer death in Europe [1]. Transrectal ultrasound-guided prostate biopsy (TRUSB) is a cornerstone procedure for its diagnosis. When adequately indicated and performed, TRUSB is reliable, not too inconvenient for the patients and welltolerated [2]. The most common complications are hematuria, hematochezia, hemoejaculate and infections. To prevent infectious complications of TRUSB, routine prophylaxis is recommended by the leading urological associations [3, 4]. Fluoroquinolone antibiotics are commonly used in this setting due to their antimicrobial spectrum and high concentrations attained in the prostatic tissue [5]. Here, we report on incidence of prostate biopsy-related septic complications in a prospective series of consecutive patients submitted to TRUSB at General Hospital Varaždin, Croatia, between January 1, 2009 and December 31, 2013. All biopsies were performed by two experienced urologists and a standard routine prophylaxis was implemented in all patients: ciprofloxacin 2 9 500 mg/day starting a day before procedure and extending over four subsequent days. Regular check-ups were scheduled at 7 and 30 days post-procedure. Septic complication was defined as a presence of systemic inflammatory response syndrome with documented or presumed infection occurring within 30 days since TRUSB. A total of 913 procedures were performed in 913 patients. Until March 2 |
| Databáze: | OpenAIRE |
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