| Literature DB >> 27601966 |
Jordon T Walker1, Nirmish Singla1, Claus G Roehrborn1.
Abstract
A rise in antimicrobial resistant uropathogens has generated a global increase in infections following transrectal ultrasound-guided prostate biopsy (TRUS-Bx). We performed a systematic search of Ovid MEDLINE® and PubMed to comprehensively review strategies to mitigate infections. Of 1664 articles retrieved, 62 were included. The data suggest that augmented prophylaxis and povidone-iodine bowel preparation warrant consideration in regions with high rates of antimicrobial resistance. Transperineal biopsy may be a safer, equally effective alternative to TRUS-Bx in select cases. Recent international travel appears to increase patients' risk for experiencing infections. These findings can aid clinicians in minimizing post-TRUS-Bx infectious complications.Entities:
Keywords: Prostate biopsy; Systematic review; Transrectal ultrasound; Urinary tract infection
Year: 2016 PMID: 27601966 PMCID: PMC5010628 DOI: 10.3909/riu0713
Source DB: PubMed Journal: Rev Urol ISSN: 1523-6161