Reducing Infectious Complications Following Transrectal Ultrasound-guided Prostate Biopsy: A Systematic Review

Reviews in Urology

Claus G. Roehrborn¹  Jordon T. Walker¹  Nirmish Singla¹ 

[1] Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX

关键词: Transrectal ultrasound;    Prostate biopsy;    Urinary tract infection;    Systematic review;   

DOI  :  10.3909/riu0713

学科分类：基础医学

来源: MedReviews, LLC

【 摘 要 】

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.

【 授权许可】

Unknown