Zero hospital admissions for infection after 577 transperineal prostate biopsies using single-dose cephazolin prophylaxis

Zero hospital admissions for infection after 577 transperineal prostate biopsies using... Introduction Purpose To determine the rate of hospital admissions for infection after transperineal biopsy of prostate (TPB) with Prostate biopsies are essential in the diagnosis of prostate single-dose cephazolin prophylaxis using a prospective cancer and therefore are a common procedure performed database. by urologists [1, 2]. The most frequently used approach to Method Between April 2013 and February 2016, 577 prostate biopsy is via the transrectal route guided by ultra- patients undergoing TPB had 2 g of cephazolin given intra- sound imaging (TRUS biopsy) [2–4]. It is the method of venously at induction of anaesthesia. Data collected from choice amongst many urologists as it can be performed these patients included age, PSA, prostate volume, number quickly under local anaesthesia [5]. However, in recent of cores taken and post-operative complications. years, there have been increasing concerns that this Results No patients were readmitted to hospital with infec- approach is associated with rising rates of infective com- tion post-TPB. Seven patients developed acute urinary plications. Nam et al. [6] reported a fourfold increase in retention, and one patient developed clinical prostatitis that the admissions to hospital for complications from TRUS was treated with oral antibiotics in the community. biopsy comparing the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png World Journal of Urology Springer Journals

Zero hospital admissions for infection after 577 transperineal prostate biopsies using single-dose cephazolin prophylaxis

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2016 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Urology; Nephrology; Oncology
ISSN
0724-4983
eISSN
1433-8726
D.O.I.
10.1007/s00345-016-1985-1
Publisher site
See Article on Publisher Site

Abstract

Introduction Purpose To determine the rate of hospital admissions for infection after transperineal biopsy of prostate (TPB) with Prostate biopsies are essential in the diagnosis of prostate single-dose cephazolin prophylaxis using a prospective cancer and therefore are a common procedure performed database. by urologists [1, 2]. The most frequently used approach to Method Between April 2013 and February 2016, 577 prostate biopsy is via the transrectal route guided by ultra- patients undergoing TPB had 2 g of cephazolin given intra- sound imaging (TRUS biopsy) [2–4]. It is the method of venously at induction of anaesthesia. Data collected from choice amongst many urologists as it can be performed these patients included age, PSA, prostate volume, number quickly under local anaesthesia [5]. However, in recent of cores taken and post-operative complications. years, there have been increasing concerns that this Results No patients were readmitted to hospital with infec- approach is associated with rising rates of infective com- tion post-TPB. Seven patients developed acute urinary plications. Nam et al. [6] reported a fourfold increase in retention, and one patient developed clinical prostatitis that the admissions to hospital for complications from TRUS was treated with oral antibiotics in the community. biopsy comparing the

Journal

World Journal of UrologySpringer Journals

Published: Dec 16, 2016

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