[Antibiotic prophylaxis and prostate biopsy]
Riccardo Bartoletti1, Tommaso Cai
1Dipartimento di Medicina Sperimentale e Clinica, Università di Firenze, Firenze - Italy.
Urologia
|December 24, 2014
Summary
To combat rising infections after prostate biopsies, new strategies beyond standard antibiotics are crucial. Implementing tailored prevention policies can reduce patient risks and antibiotic resistance.
Area of Science:
- Urology
- Infectious Disease Prevention
Background:
- Transrectal prostate biopsy is a common urological procedure.
- Increasing rates of infectious complications are observed.
- Antibiotic prophylaxis is standard but facing resistance challenges.
Purpose of the Study:
- To review and enhance urologist knowledge on preventing infectious complications.
- To address the rising prevalence of infections post-transrectal prostate biopsy.
Main Methods:
- Systematic review of recent Medline and Cochrane Library publications.
- Analysis of data from European Association of Urology (EAU) and American Urological Association (AUA) Congresses (last 5 years).
Main Results:
- High prevalence of fluoroquinolone-resistant bacteria necessitates alternative strategies.
- Rectal swab analysis, antiseptic enemas, and combination antibiotics are viable options.
- Reducing biopsy cores and adopting the perineal approach are alternative methods.
Conclusions:
- Innovative prevention strategies can be integrated into clinical practice.
- A defined policy for antibiotic prophylaxis is needed to optimize outcomes.
- Reducing infectious complications and antibiotic resistance are key goals.
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