TY - JOUR
T1 - Prostate Biopsy-related Infection
T2 - A Systematic Review of Risk Factors, Prevention Strategies, and Management Approaches
AU - Roberts, Matthew J.
AU - Bennett, Harrison Y.
AU - Harris, Patrick N.
AU - Holmes, Michael
AU - Grummet, Jeremy
AU - Naber, Kurt G
AU - Wagenlehner, Florian M E
PY - 2017/6/1
Y1 - 2017/6/1
N2 - A systematic review to identify risk factors for prostate biopsy-related infection, preventative strategies, and optimal management of infectious complications was conducted. Significant risk factors for postbiopsy infection include urogenital infection, antibiotic use, international travel, hospital exposure, bacteriuria, previous transrectal biopsy, and resistance of fecal flora to antibiotic prophylaxis (especially fluoroquinolones). Patients at risk may benefit from an adjusted biopsy protocol comprising transrectal biopsy under targeted prophylaxis, and/or the use of rectal disinfection techniques or using a transperineal approach. Management of biopsy-related infection should be based on individual risk and local resistance profiles with input from multiple specialties.
AB - A systematic review to identify risk factors for prostate biopsy-related infection, preventative strategies, and optimal management of infectious complications was conducted. Significant risk factors for postbiopsy infection include urogenital infection, antibiotic use, international travel, hospital exposure, bacteriuria, previous transrectal biopsy, and resistance of fecal flora to antibiotic prophylaxis (especially fluoroquinolones). Patients at risk may benefit from an adjusted biopsy protocol comprising transrectal biopsy under targeted prophylaxis, and/or the use of rectal disinfection techniques or using a transperineal approach. Management of biopsy-related infection should be based on individual risk and local resistance profiles with input from multiple specialties.
UR - http://www.scopus.com/inward/record.url?scp=85008485873&partnerID=8YFLogxK
U2 - 10.1016/j.urology.2016.12.011
DO - 10.1016/j.urology.2016.12.011
M3 - Review Article
AN - SCOPUS:85008485873
SN - 0090-4295
VL - 104
SP - 11
EP - 21
JO - Urology
JF - Urology
ER -