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Related Experiment Video

Updated: Feb 14, 2026

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection
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Antibiotic Prophylaxis in Prostate Biopsies: Contemporary Practice Patterns in Germany.

Katharina Boehm1, Fabian P Siegel2, Laila Schneidewind3

  • 1Universitätsmedizin Mainz, Klinik und Poliklinik für Urologie und Kinderurologie, Mainz, Germany.

Frontiers in Surgery
|February 9, 2018
PubMed
Summary
This summary is machine-generated.

Most urologists use extended antibiotic prophylaxis (apx) for prostate biopsies (pbx), often with fluoroquinolones. Practices are adapting to rising resistance by using rectal swab and urine cultures.

Keywords:
antibiotic prophylaxisantibiotic stewardshiphealthcare researchperineal biopsyprostate biopsytransrectal biopsy

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Area of Science:

  • Urology
  • Infectious Disease

Background:

  • Prostate biopsy (pbx) is a common urological procedure.
  • Urinary tract infections, including sepsis, are significant complications.
  • Current antibiotic prophylaxis (apx) recommendations are scarce.

Purpose of the Study:

  • To investigate the duration and spectrum of antimicrobial prophylaxis for transrectal and transperineal pbx.
  • To gather data on current practices in hospital and practice settings.

Main Methods:

  • A questionnaire was distributed to German urologists.
  • Data collected included pbx frequency, apx duration/type, lubricant use, and cultures.
  • 478 urologists responded, with 15.5% being residents.

Main Results:

  • 98% of urologists prescribe apx, predominantly fluoroquinolones.
  • The median apx duration is 4 days; only 10.1% use single-shot apx.
  • Urine and rectal swab cultures are used by 45.5% and 24.4% of respondents, respectively.

Conclusions:

  • Most urologists use extended apx for both transrectal and transperineal pbx.
  • Perineal pbx is not yet an established alternative.
  • Urologists are aware of fluoroquinolone resistance and are incorporating cultures; further studies on alternatives to 5-day apx are needed.