scholarly journals Risk factors for infection development after transrectal prostate biopsy and the role of resistant bacteria in colonic flora

2017 ◽  
Vol 11 (02) ◽  
pp. 188-191 ◽  
Author(s):  
Emine Dilek Eruz ◽  
Aysun Yalci ◽  
Eriz Ozden ◽  
Halide Aslaner ◽  
Suna Ogucu-Durgun ◽  
...  
Keyword(s):  
Risk Factors ◽  
Prostate Biopsy ◽  
Bacterial Colonization ◽  
Intestinal Flora ◽  
Infectious Complications ◽  
Resistant Bacteria ◽  
Prophylactic Regimen ◽  
Colonic Flora ◽  
Transrectal Prostate Biopsy

Introduction: In this study, we aimed to identify risk factors for the development of infectious complications after prostate biopsy and to investigate the role of intestinal colonization of bacteria that are resistant to prophylactic antibiotics. Methodology: A total of 168 patients who had undergone transrectal prostate biopsy (TRPB) under ciprofloxacin and gentamycin prophylaxis were included in the study. Stool cultures and subsequent antibiotic susceptibility testing were performed in all patients before the start of antibiotic prophylaxis. Results: Of the 168 patients, 17 (10.1%) developed urinary tract infection (UTI), while 6 (3.57%) developed sepsis within seven days after biopsy. Ciprofloxacin-resistant bacterial colonization was detected in 81 (48.2%) of the patients. None of the patients with ciprofloxacin-sensitive bacteria in intestinal flora developed a UTI. The colonization of intestinal ciprofloxacin-resistant bacteria increased UTI risk significantly after TRPB (p < 0.0001). Urolithiasis history, presence of permanent urinary catheterization, hospitalization history for more than 48 hours in the last year, and recent antibiotic usage significantly increased UTI risk after TRPB. Conclusions: Development of an infection was more frequent in patients with resistant bacterial colonization. We hope to guide more comprehensive studies designed to find a standard prophylactic regimen for TRPB that can be used all over the world.

scholarly journals Transrectal Prostate Biopsy-Associated Prophylaxis and Infectious Complications: Report of a Query to the Emerging Infections Network of the Infectious Diseases Society of America

2015 ◽  
Vol 2 (1) ◽  
Author(s):  
James R. Johnson ◽  
Philip M. Polgreen ◽  
Susan E. Beekmann
Keyword(s):  
Infectious Diseases ◽  
Prostate Biopsy ◽  
Infectious Complications ◽  
Emerging Infections ◽  
Prophylactic Regimen ◽  
Transrectal Prostate Biopsy ◽  
Control And Prevention ◽  
Resistant Strains ◽  
Antibiotic Dose ◽  
Question Survey

Abstract Background.  Fluoroquinolone-resistant infections after transrectal prostate biopsy (TRPB) are increasing. Methods.  Members of the Emerging Infections Network, a consortium of adult infectious diseases physicians sponsored by the Centers for Disease Control and Prevention and the Infectious Diseases Society of America, were administered an electronic 9-question survey regarding post-TRPB infections and associated prophylaxis. Results were compared with respondent characteristics. Results.  The overall response rate was 47% (552 of 1180). Of the 552 respondents, 234 (42%) reported that this problem was not applicable to their practice. The remaining 318 (58%) reported that, despite widespread recent changes in prophylactic regimens, fluoroquinolone monotherapy still was most common, but diverse alternate or supplemental oral and parenteral antibiotics (including imipenem) also were used. Reports of culture-guided prophylaxis were rare (9%). The most common duration of prophylaxis was a single prebiopsy antibiotic dose. However, 16%–23% of respondents reported prophylaxis continuing for ≥24 hours postbiopsy. Post-TRPB infections were reported as being more frequent now than 4 years ago, with sepsis and genitourinary presentations predominating, but with osteomyelitis, endocarditis, and epidural abscess also occurring. Infection isolates reportedly were usually resistant to the prophylactic regimen. Conclusions.  Emerging Infections Network members perceive post-TRPB infections as increasingly frequent, caused by resistant strains, and involving serious illness. Prophylactic approaches, although in flux, still usually entail ciprofloxacin monotherapy, which often is given for excessive durations. Multiple opportunities exist for infectious diseases specialists to partner with proceduralists in devising, studying, and implementing improved prophylaxis regimens for TRPB.

scholarly journals Comparison of Single and Prolonged Fluoroquinolone Prophylaxis and Risk Factors for Infectious Complications After Transrectal Prostate Biopsy

2018 ◽  
Vol 35 (5) ◽  
pp. 373-377 ◽  
Author(s):  
Arif Kalkanlı ◽  
Cem Tuğrul Gezmiş ◽  
Arif Özkan ◽  
Nusret Can Çilesiz ◽  
Fatih Yanaral ◽  
...  
Keyword(s):  
Risk Factors ◽  
Prostate Biopsy ◽  
Infectious Complications ◽  
Transrectal Prostate Biopsy ◽  
Fluoroquinolone Prophylaxis

scholarly journals Prevalence, Risk Factors, and Clinical Relevance of Fluoroquinolone-Resistant Organisms in Rectal Cultures: Should We Target Antibiotic Prophylaxis Prior to Prostate Biopsy?

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
J. Van Besien ◽  
P. Uvin ◽  
A. M. Van den Abeele ◽  
L. Merckx
Keyword(s):  
Antibiotic Prophylaxis ◽  
Prostate Biopsy ◽  
Infectious Complications ◽  
Fluoroquinolone Resistance ◽  
Resistant Bacteria ◽  
Confounding Variables ◽  
Transrectal Prostate Biopsy ◽  
Patients At Risk ◽  
Resistance Rates ◽  
Targeted Approach

The rise of infectious complications after prostate biopsy has been linked to the growing resistance of enterobacteria to fluoroquinolone (FQ) antibiotics. In this review, we investigated the potential benefit of targeted antibiotic prophylaxis based on rectal cultures prior to prostate biopsy. An electronic search for all related literature published in English was performed from April until June 2015 using the MEDLINE and EMBASE databases. Data were obtained regarding the true prevalence of FQ-resistant bacteria in the rectum of patients, the identification of those patients at risk of harbouring FQ-resistant bacteria, the risk of infectious complications after transrectal prostate biopsy in patients with FQ-resistant bacteria, and the effect of targeted prophylaxis. Although there is limited evidence that a targeted approach might be beneficial, we conclude that current studies on the use of rectal cultures in the prebiopsy setting have too many limitations and confounding variables to definitely accept this approach in clinical practice. Whether this methodology is useful in a certain region will greatly depend on local fluoroquinolone-resistance rates.

scholarly journals Impact of Rectal Swabs on Infectious Complications after Transrectal Prostate Biopsy

2016 ◽  
Vol 97 (3) ◽  
pp. 340-346 ◽  
Author(s):  
Carlos Gustavo Trujillo ◽  
Mauricio Plata ◽  
Juan Ignacio Caicedo ◽  
Juan Guillermo Cataño Cataño ◽  
Angela Marcela Mariño Alvarez ◽  
...  
Keyword(s):  
Prostate Biopsy ◽  
Infectious Complications ◽  
Rectal Swabs ◽  
Transrectal Prostate Biopsy

scholarly journals Cutting to the Core of the Issue: Emerging Strategies To Reduce Prostate Biopsy-Related Infections

2016 ◽  
Vol 54 (10) ◽  
pp. 2431-2435 ◽  
Author(s):  
Robin R. Chamberland
Keyword(s):  
Prostate Cancer ◽  
United States ◽  
Prostate Biopsy ◽  
Current Trend ◽  
The United States ◽  
Infectious Complications ◽  
Published Data ◽  
The Core ◽  
Link Type ◽  
Transrectal Prostate Biopsy

Over 1 million men undergo biopsy in the United States each year to evaluate for prostate cancer (S. Loeb, H. B. Carter, S. I. Berndt, W. Ricker, and E. M. Schaeffer, J Urol 186:1830–1834, 2011,http://dx.doi.org/10.1016/j.juro.2011.06.057). In recent years, there has been a rise in infectious complications related to these procedures. This review aims to provide an overview of the guidelines that direct transrectal prostate biopsy, to describe associated infection, and to evaluate the published data driving the current trend toward prebiopsy screening for resistant organisms.

scholarly journals Dental biofilm-induced gingivitis in children and adolescents. A literature review

2021 ◽  
Vol 26 (3) ◽  
pp. 2664-2670
Author(s):  
ȘTEFANA POPA ◽  
◽  
STANA PĂUNICĂ ◽  
MARINA CRISTINA GIURGIU ◽  
DANA BODNAR ◽  
...  
Keyword(s):  
Risk Factors ◽  
Literature Review ◽  
Children And Adolescents ◽  
Bacterial Colonization ◽  
Size Consistency ◽  
Dental Biofilm ◽  
Microbial Etiology ◽  
Local Risk ◽  
The Times

Dental biofilm-induced gingivitis is extremely common in children and adolescents and it affects the majority of children over 7 years old. It is characterised by inflammation, consisting in changes of colour, size, consistency and texture. Although most of the times gingivitis does not progress into periodontitis, it is important to diagnose and properly treat this disease, as gingivitis precedes periodontitis. The present paper aims to review the main findings of microbial etiology and epidemiology of dental biofilm-induced gingivitis mediated by local risk factors, as well as the role of oral hygiene in preventing bacterial colonization.

scholarly journals Risk factors for infectious complications following transrectal ultrasound-guided prostate biopsy

2018 ◽  
Vol Volume 11 ◽  
pp. 1491-1497 ◽  
Author(s):  
Yu-Peng Wu ◽  
Xiao-Dong Li ◽  
Zhi-Bin Ke ◽  
Shao-Hao Chen ◽  
Ping-Zhou Chen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Prostate Biopsy ◽  
Transrectal Ultrasound ◽  
Infectious Complications ◽  
Ultrasound Guided

scholarly journals MP77-04 THE ROLE OF THE OPERATOR IN THE CANCER DETECTION WITH MRI/TRUS FUSION TRANSRECTAL PROSTATE BIOPSY

2018 ◽  
Vol 199 (4S) ◽  
Author(s):  
Francesco Porpiglia ◽  
Marco Cossu ◽  
Stefano De Luca ◽  
Matteo Manfredi ◽  
Fabrizio Mele ◽  
...  
Keyword(s):  
Cancer Detection ◽  
Prostate Biopsy ◽  
Transrectal Prostate Biopsy
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