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Review
. 2015 May;56(5):346-50.
doi: 10.4111/kju.2015.56.5.346. Epub 2015 Apr 6.

Infection after transrectal ultrasound-guided prostate biopsy

Seung-Ju Lee  1
Affiliations
Review

Infection after transrectal ultrasound-guided prostate biopsy

Seung-Ju Lee. Korean J Urol. 2015 May.

Abstract

Infectious complications after transrectal ultrasound-guided prostate biopsy (TRUS-Bx) appear to be increasing, which reflects the high prevalence of antibiotic-resistant strains of Enterobacteriaceae. Identifying patients at high risk for antibiotic resistance with history taking is an important initial step. Targeted prophylaxis with a prebiopsy rectal swab culture or augmented antibiotic prophylaxis can be considered for patients at high risk of antibiotic resistance. If infectious complications are suspected, the presence of urosepsis should be evaluated and adequate antibiotic treatment should be started immediately.

Keywords: Biopsy; Infection; Prostate.

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Conflict of interest statement

CONFLICTS OF INTEREST: The author has nothing to disclose.

Figures

Fig. 1
Fig. 1. Flow chart to choose antibiotic prophylaxis for transrectal prostate biopsy. *Alternative antibiotics may be recommended in regions where the rate of fluoroquinolone resistance is high, but levels of evidence from clinical studies are not high.
See this image and copyright information in PMC

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