Infection after transrectal ultrasound-guided prostate biopsy.
10.4111/kju.2015.56.5.346
- Author:
Seung Ju LEE
1
Author Information
1. Department of Urology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. lee.seungju@gmail.com
- Publication Type:Review
- Keywords:
Biopsy;
Infection;
Prostate
- MeSH:
Anti-Bacterial Agents/therapeutic use;
Antibiotic Prophylaxis;
Biopsy/*adverse effects;
Drug Resistance, Bacterial;
Escherichia coli Infections/drug therapy/*prevention & control;
Humans;
Male;
Prostate/*pathology;
*Ultrasound, High-Intensity Focused, Transrectal;
Urinary Tract Infections/*drug therapy/microbiology
- From:Korean Journal of Urology
2015;56(5):346-350
- CountryRepublic of Korea
- Language:English
-
Abstract:
Infectious complications after transrectal ultrasound-guided prostate biopsy (TRUS-Bx) appear to be increasing, which reflects the high prevalence of antibiotic-resistant strains of Enterobacteriaceae. Identifying patients at high risk for antibiotic resistance with history taking is an important initial step. Targeted prophylaxis with a prebiopsy rectal swab culture or augmented antibiotic prophylaxis can be considered for patients at high risk of antibiotic resistance. If infectious complications are suspected, the presence of urosepsis should be evaluated and adequate antibiotic treatment should be started immediately.
