Impact of rectal swabs on infectious complications after transrectal prostate biopsy

View/ Open
Date
2016-07-19Authors
Gustavo Trujillo, CarlosPlata, Mauricio
Caicedo, Juan Ignacio
Cataño Cataño, Juan Guillermo
Mariño Alvarez, Angela Marcela
Castelblanco, Diana
Robledo, Daniela
Corporate Author(s)
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Urología
Type
Artículo de revista
ISSN
0042-1138 / 1423-0399 (Electrónico)
Pages
340-346
Item type
Artículo original
Share this record
Citación
Metadata
Show full item record
Documentos PDF
Abstract
Objectives: To determine the impact of rectal swabs (RSs) on
infectious complications (IC) following prostate biopsy (PB).
Methods: A retrospective cohort study was conducted including all patients subjected to PB between 2009 and 2013.
Group B consisted of patients with a RS and group A of patients without. RS reported the presence of gram-positive or
negative germs, sensitive or resistant to ciprofloxacin. Antimicrobial prophylaxis was adjusted to the result. Frequency
of IC in each group was determined. Results: Group B had
548 (47.20%) patients and group A 613 (52.80%). From group
B, 250 (45.62%) of the RSs showed fluoroquinolone (FQ)-resistant germs. Forty nine (16.44%) patients with sensitive
germs vs. 147 (59.51%) with resistant germs had a history of
previous FQ treatment (p < 0.0001). IC were observed in 33
(5.49%) patients from group A and in 7 (1.28%) patients from
group B (p < 0.0001), requiring hospitalization in 4.99 vs.
1.28%, respectively. IC and hospital admissions were reduced in 76.68 and 74.34%, respectively, following the implementation of RS. Conclusions: RS and targeted antibiotic
prophylaxis prior to PB was associated with a significant reduction in IC and hospital admissions. Ceftriaxone could be
an alternative in cases of known resistance. Past history of FQ
treatment is associated with increased resistance.
Spatial coverage (cities)
Bogotá (Colombia)Spatial coverage
ColombiaTemporary coverage
2009-2013Community
Paciente masculinoLink to the resource
https://www.karger.com/Article/FullText/448595Source
Urología Internationalis; Vol. 97 Núm. 3 (2016)
Estadísticas Google Analytics
Collections
- Artículos [95]