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[Infection control practices while performing prostate biopsies in France: A CIAFU survey].

P Leduc1, J D Doublet2, F Bruyère3

  • 1Unité d'épidémiologie et hygiène hospitalière, CHU Toulouse-Rangueil, 1, avenue Jean-Poulhès, 31059 Toulouse cedex 9, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|August 19, 2017
PubMed
Summary

French urologists need to improve infection control during trans-rectal prostate biopsies. Key areas include sterile ultrasound gel, probe sterilization, and EC-labeled probe covers to prevent cross-transmission.

Keywords:
Biopsies de prostateDisinfectionDésinfectionEndorectal probesInfectious riskProstatic biopsiesRisque infectieuxSondes endo-rectales

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Area of Science:

  • Urology
  • Infectious Disease Control
  • Medical Device Sterilization

Background:

  • French Public Health Committee (2008) suggested low-level disinfection with probe protection equals intermediate-level disinfection.
  • French Urology Association (AFU) updated guidelines in 2010 for trans-rectal prostate biopsies to prevent infection cross-transmission.

Purpose of the Study:

  • To evaluate compliance with AFU guidelines for infection prevention during trans-rectal prostate biopsies.
  • To identify areas needing improvement in infection control practices among urologists.

Main Methods:

  • An evaluation of compliance with AFU infection control guidelines was conducted in 2016.
  • Data collected on practices such as anesthesia use, urine cultures, and probe processing.

Main Results:

  • One-third of urologists still perform biopsies under general anesthesia, contrary to recommendations.
  • Two-thirds request pre-biopsy urine cultures.
  • Significant improvements needed in sterilization of needle guides, use of sterile ultrasound gel, and EC-labeled probe covers.
  • Many urologists report probe contamination; less than half of probes are fully immersible.
  • Glutaraldehyde remains a common disinfectant despite guidelines.

Conclusions:

  • Compliance with AFU guidelines for infection prevention during trans-rectal prostate biopsies is suboptimal.
  • Urgent improvements are required in sterilization, probe protection, and disinfection protocols.
  • Enhanced adherence to guidelines is crucial to minimize infection risks and cross-transmission.