Infectious Complications after Prostate Biopsy: A Prospective Multicenter Prostate Biopsy StudyInfectious Complications after Prostate Biopsy: A Prospective Multicenter Prostate Biopsy Study
- Other Titles
- Infectious Complications after Prostate Biopsy: A Prospective Multicenter Prostate Biopsy Study
- Authors
- 황의창; 유호송; 정승일; 권동득; 이선주; 김태형; 장인호; 윤하나; 심봉석; 김광현; 이동현; 허정식; 임동훈; 조원진; 민승기; 이길호; 김기호; 김태환; 이서연; 양승옥; 정재민; 이상돈; 한창희; 배상락; 최현섭; 이승주; 정홍; 나용길; 양승우; 박성운; 김영호; 김태효; 조원열; 한준현; 조용현; 하유신; 박흥재; 대한요로생식기감염학회
- Issue Date
- 2016
- Publisher
- 대한요로생식기감염학회
- Keywords
- Escherichia coli; Fluoroquinolones; Infection; Prostate
- Citation
- Urogenital Tract Infection, v.11, no.1, pp.17 - 24
- Journal Title
- Urogenital Tract Infection
- Volume
- 11
- Number
- 1
- Start Page
- 17
- End Page
- 24
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/9834
- ISSN
- 2465-8243
- Abstract
- Purpose: Recent studies have highlighted an increasing trend of infectious complications due to fluoroquinolone-resistant organisms among men undergoing transrectal prostate biopsy. This study evaluated the current incidence of infective complications after trans-rectal prostate biopsy for identification of risk factors in Korean men who received fluoroquinolone prophylaxis.Materials and Methods: A prospective, multicenter study was conducted in Korea from January to December 2015. Prostate biopsies performed with fluoroqui-nolone prophylaxis during 3 months in each center were included. A pre-biopsy questionnaire was used for identification of patient characteristics. Clinical variables including underlying disease, antibiotic prophylaxis, enema, povidone- iodine cleansing of the rectum, and infectious complications were evaluated. The primary outcome was the post-biopsy infection rate after fluoroquinolone prophylaxis. Univariable and multivariable analyses were used for identification of risk factors for infectious complications.Results: The study included 827 patients, of whom 93 patients (11.2%) reported receiving antibiotics in the previous 6 months and 2.5% had a history of prostatitis. The infectious complication rate was 2.2%. Post-biopsy sepsis was reported in 2 patients (0.2%). In multivariable analysis predictors of post-biopsy sepsis included person performing biopsy (adjusted odds ratio [OR], 4.05; 95% confidence interval [CI], 1.31-12.5; p=0.015) and operation history within 6 months (adjusted OR, 5.65; 95% CI, 1.74-18.2; p=0.004).Conclusions: The post-prostate biopsy infectious complication rate in this study was 2.2%. Person performing biopsy (non-urologists) and recent operation history were independent risk factors for infectious complications after trans-rectal prostate biopsy.
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