前列腺活检后预防感染:预防性抗生素,预活检直肠培养和活检方法
Nicolai Hubner1, Marc Dall'Era1
1Department of Urologic Surgery, University of California, Davis, 4860 Y Street, Suite 3500, Sacramento, CA 95817, USA.
The Urologic clinics of North America
|September 30, 2024
概括
前列腺活检可能会导致危险的感染,通常来自耐药的大肠杆菌. 抗生素和直肠清洗等策略降低了风险,而跨膜方法提供了一个低感染率的替代方案.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 前列腺活检对于早期发现前列腺癌至关重要.
- 跨直肠前列腺活检具有严重的生命危险感染风险,主要来自耐药性大肠杆菌.
- 尽量减少感染风险对于前列腺活检过程中的患者安全至关重要.
研究的目的:
- 审查减少前列腺活检后感染和败血症的方法.
- 评估预防性抗生素和直肠清洗的疗效.
- 为了突出跨膜方法在感染风险方面的安全概况.
主要方法:
- 对前列腺活检感染预防策略的当前文献的综述.
- 分析包括抗生素和直肠清洁方案在内的预防措施.
- 跨直肠和跨膜活检方法之间的感染率的比较.
主要成果:
- 预防性抗生素和用povidone-iodine进行预视觉直肠清洁可以减少与直肠间活检相关的感染风险.
- 耐药性大肠杆菌是活检后败血症的主要原因.
- 跨腺前列腺活检方法表明感染风险明显降低,往往否定了抗生素预防的需要.
结论:
- 实施特定的预防措施可以减轻通过直肠前列腺活检引起的严重感染风险.
- 跨关节的方法代表了一种更安全的替代方案,感染并发症最小.
- 进一步的研究和遵守最佳实践对于改善前列腺癌诊断患者的结果至关重要.
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