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Current routines fo...
Current routines for antibiotic prophylaxis prior to transrectal prostate biopsy : a national survey to all urology clinics in Sweden.
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- Styrke, Johan (författare)
- Umeå universitet,Urologi och andrologi
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- Resare, Sven (författare)
- Umeå universitet,Urologi och andrologi
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- Lundström, Karl-Johan (författare)
- Umeå universitet,Urologi och andrologi
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Masaba, Patrick (författare)
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- Lagerros, Christofer (författare)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper
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- Stattin, Pär (författare)
- Uppsala universitet,Urologkirurgi
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(creator_code:org_t)
- 2020-01-28
- 2020
- Engelska.
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Ingår i: F1000 Research. - : F1000 Research Ltd. - 2046-1402. ; 9
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background: The risk of infection after transrectal ultrasound (TRUS)-guided prostate biopsies is increasing. The aim of the study was to assess the use of antibiotic prophylaxis for prostate biopsy in Sweden. Methods: All public and private urology clinics reporting to the National Prostate Cancer Register of Sweden received a survey on TRUS-biopsy prophylaxis. Results: Of the 84 clinics surveyed, 76 replied (90%). If no risk factors for infection were present, a single dose of ciprofloxacin 750 mg was used by 50 clinics (66%). Multiple doses of ciprofloxacin 500 or 750 mg (n=14; 18%) or a single dose of trimethoprim-sulfamethoxazole 160/800 mg (n=7; 9%) were other common prophylaxes. Most clinics gave the prophylaxes immediately before the biopsy (n=41; 54%). Urine dipstick was used by 30 clinics (39%) and rectal enema by six (8%). In patients with high risk of infection, the survey mirrors a large variety of regiments used. Conclusions: The preference to use a single dose of ciprofloxacin 750 mg is in accordance with the Swedish national guidelines for patients with a low risk of infection. Better compliance to the guideline recommendation to use a urine dipstick would probably increase the number of patients classified as having an increased risk of infection. Being classified as a high-risk patient should lead to an extended duration of antibiotic prophylaxis, however, the variety of regimens used in the high-risk group reflects an inability to treat these patients in a standardized fashion and also highlights a need for more clear-cut guidelines. Pre-biopsy identification of high-risk patients is an important issue to tackle for the urologic clinics in order to reduce the number of infections.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Nyckelord
- Antibiotic prophylaxis
- Prostate biopsy
- Prostate cancer diagnostics
- Survey
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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