The clinical application of thorough rectal disinfection with povidone-iodine in preventing infectious com-plications after transrectal ultrasound guided prostate biopsy
10.3969/j.issn.1006-5725.2017.24.026
- VernacularTitle:彻底碘伏直肠消毒法预防经直肠超声引导下前列腺穿刺术术后感染
- Author:
Xiao XU
1
;
Libo MAN
;
Ning ZHOU
;
zhong Gui LI
Author Information
1. 100096,北京积水潭医院泌尿外科
- Keywords:
prostate;
biopsy;
infections;
povidone-iodine
- From:
The Journal of Practical Medicine
2017;33(24):4126-4129
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of thorough rectal disinfection with povidone-iodine in prevention of postoperative infection of transrectal ultrasound-guided prostate biopsy. Methods A retrospective analysis was carried out on 520 patients who received transrectal ultrasound-guided prostate biopsy in our department from April 2014 to January 2017.To ensure the faeces were watery,all patients took polyethylene glycol electrolyte powder orally for bowel preparation the day before surgery.And all patients were asked to fast from 10 pm the day before biopsy. From April 2014 to June 2015,a total of 206 patients(Group A)were admitted to our department for transrectal ultrasound -guided prostate biopsy,who received routine rectal disinfection before biopsy,and the rectum was disinfected with povidone-iodine for 3 times. While from July 2015 to January 2017,a total of 314 patients(Group B)were admitted to our department for transrectal ultrasound-guided prostate biopsy,who received thorough rectal disinfection before biopsy,and the rectum was disinfected with the mixture of povidone-iodine solution and 5 milliliters of 2 % lidocaine solution for 20 times. There was no significant difference in patients′mean age,PSA or prostate volume between the two groups. All patients received 13 cores transrectal ultrasound-guided prostate biopsy using 18 gauge biopsy needles,and they all received infusion of 300 mg etimicin sulfate once daily for 2 days post operation to prevent infections.We analyzed the differences of infection rate between the two groups.Results Infectious complications were observed in 7(3.4%)patients in group A,while none(0%)in group B(P=0.004),indicating a significantly lower infection rate in group B than that in group A. Conclusions Thorough rectal disinfection with povidone-iodine is a safe,effective and low-cost way in preventing infectious com-plications after transrectal ultrasound-guided prostate biopsy,which is worthy of promotion in clinic.
