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Related Concept Videos

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...

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Related Experiment Video

Updated: Jun 18, 2026

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection
05:32

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Published on: September 21, 2015

[Antibiotic prophylaxis in transrectal prostate biopsy].

Daniel Muñoz Vélez1, Antoni Vicens Vicens, Mariano Ozonas Moragues

  • 1Servicio de Urología, Hospital Universitario Son Dureta, Palma de Mallorca, España. dr.munoz.velez@gmail.com

Actas Urologicas Espanolas
|November 11, 2009
PubMed
Summary

Prophylactic antibiotics significantly reduce genitourinary infections following prostate biopsies. Oral, single-dose, or short-term antibiotic prophylaxis is recommended based on common bacterial sensitivities, though further research on enemas is needed.

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Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance
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Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance

Published on: June 6, 2025

Related Experiment Videos

Last Updated: Jun 18, 2026

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection
05:32

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Published on: September 21, 2015

Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance
05:35

Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance

Published on: June 6, 2025

Area of Science:

  • Urology
  • Infectious Diseases

Context:

  • Transrectal ultrasound-guided prostate biopsies carry a risk of genitourinary infections (GUI).
  • Current antibiotic prophylaxis protocols vary significantly between medical centers.
  • There is a lack of established guidelines for antibiotic prophylaxis before prostate biopsies.

Purpose:

  • To review and synthesize existing literature on antibiotic prophylaxis protocols for transrectal ultrasound-guided prostate biopsies.
  • To evaluate the efficacy of antibiotic prophylaxis in reducing GUI incidence.

Summary:

  • A review of five articles indicated that antibiotic prophylaxis is associated with lower rates of bacteriuria and infectious complications compared to placebo.
  • Escherichia coli is the most frequent causative agent of GUI.
  • Oral quinolones are commonly used for prophylaxis. Studies found no significant differences between oral versus parenteral administration or between single-dose/short-term versus longer courses.

Impact:

  • Prophylactic antibiotic administration is beneficial in preventing GUIs post-prostate biopsy.
  • Optimal timing and choice of oral antibiotics (single or short-term course) should consider microbial sensitivities.
  • Further research is required to ascertain the role of pre-biopsy enemas in mitigating infectious complications.