Read by QxMD icon Read

Prostate biopsy povidone

Matteo Fontana, Luca Boeri, Emanuele Montanari
PURPOSE OF REVIEW: Postbiopsy infections (PBIs) are among the most common complications associated with transrectal ultrasound-guided prostate biopsy (TRUSPB). This article discusses the pathogenesis of TRUSPB-associated infectious complications and reviews the most recent findings on techniques to prevent PBIs. RECENT FINDINGS: Risk stratification is a powerful tool for identifying TRUSPB candidates whom warrant additional preventive measures. Bowel preparation with povidone-iodine-based enemas and needle disinfection with formalin solution are simple and attractive strategies, but their effectiveness needs to be thoroughly assessed...
July 2018: Current Opinion in Urology
Jordan L Allen, Kathleen Lehman, Kalyan Dewan, Girish Kirimanjeswara, Jay D Raman
INTRODUCTION: To determine if a povidone iodine rectal preparation (PIRP) reduces rates of bacteriuria and bacteremia following transrectal ultrasound guided prostate needle biopsy (TRUS PNB). MATERIALS AND METHODS: Men undergoing TRUS PNB were prospectively enrolled in a study comparing the impact of PIRP versus standard of care (two pills of ciprofloxacin 500 mg). Urine, blood, and rectal cultures were obtained 30 minutes post-procedure with colony forming units (CFUs) determined after 48 hours...
August 2017: Canadian Journal of Urology
Lucio Dell'Atti, Andrea Benedetto Galosi
PURPOSE: Crohn's disease (CD) is a chronic inflammatory condition of the gastrointestinal tract. It is usually considered a contraindication to transrectal ultrasound-guided prostate biopsy (TRUSBx). The aim of this study was to investigate the safety of TRUSBx in a small cohort of patients with CD. METHODS: We queried our institutional database clinical data of patients with a diagnosis of CD undergoing TRUSBx, and a retrospective prospective study of 5 patients was planned...
June 30, 2017: Archivio Italiano di Urologia, Andrologia
A Pilatz, G Lüdecke, F Wagenlehner
Different strategies have been developed to reduce infectious complications following prostate biopsy. Various technical aspects like number of biopsies, needle size, route of biopsy, periprostatic nerve blockade, rectal preparation by enema, or disinfection with povidone-iodine have to be discussed. Regarding antibiotic therapy, choosing the optimal antibiotic, the duration of prophylaxis, combination therapy, and rectal swab-based antimicrobial therapy are of major interest. The current review gives answers to the different aspects...
June 2017: Der Urologe. Ausg. A
Xin-Hong Zhang, Yong Jia, Wei-Hua Guo, Yu-Rong Ma, Jing Yang, Yu Zhang, Si-Chuan Hou, Chang-Cun Zhang
AIMS AND OBJECTIVES: To assess the effects of three different bowel preparation methods on the incidence of infectious complications in patients who underwent transrectal ultrasonography (TRUS) guided prostate biopsy. BACKGROUND: The standard bowel preparation protocol for prostate biopsy has not been established. DESIGN: A retrospective study in a single center. METHODS: From January 2013 to December 2015, the clinical records of 1130 patients who underwent prostate biopsy were respectively reviewed...
April 12, 2017: Journal of Clinical Nursing
Jordon T Walker, Nirmish Singla, Claus G Roehrborn
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...
2016: Reviews in Urology
Ji Won Ryu, Seung Il Jung, Ji Hoon Ahn, Eu Chang Hwang, Ho Song Yu, Taek Won Kang, Dong Deuk Kwon, Kwangsung Park, Jin Woong Kim
PURPOSE: The aim of this study was to evaluate the effect of povidone-iodine rectal disinfection and targeted antimicrobial prophylaxis in men undergoing transrectal ultrasound-guided prostate biopsy based on rectal swab culture results. METHODS: From January 2011 to December 2015, we studied differences in infectious complications in men who received povidone-iodine rectal disinfection with targeted antimicrobial prophylaxis and those who received empirical prophylaxis before transrectal ultrasound-guided prostate biopsy...
November 2016: International Urology and Nephrology
Jorge Moreno-Palacios, Alejandro Espinosa-Guerrero, Juan Ramón Torres-Anguiano, Guillermo Montoya-Martínez, Virgilio López-Samano, Eduardo Serrano-Brambila
BACKGROUND: The aim of this study is to compare two different preparations in patients undergoing transrectal prostate biopsies samples (TPBS) and assess the prevalence of genitourinary infections (GUI). METHODS: A historical cohort of patients undergoing TBPS for suspected prostate cancer. Two groups were compared: one with endorectal lubricant jelly and another with the addition of a povidone-iodine lubricating jelly. Complications were evaluated at three weeks...
November 2015: Revista Médica del Instituto Mexicano del Seguro Social
Jay D Raman, Kathleen K Lehman, Kalyan Dewan, Girish Kirimanjeswara
Single institution and population-based studies highlight that infectious complications following transrectal ultrasound guided prostate needle biopsy (TRUS PNB) are increasing. Such infections are largely attributable to quinolone resistant microorganisms which colonize the rectal vault and are translocated into the bloodstream during the biopsy procedure. A povidone iodine rectal preparation (PIRP) at time of biopsy is a simple, reproducible method to reduce rectal microorganism colony counts and therefore resultant infections following TRUS PNB...
September 21, 2015: Journal of Visualized Experiments: JoVE
Eu Chang Hwang, Seung Il Jung, Young Ho Seo, Se Heon Jeong, Dong Deuk Kwon, Kwangsung Park, Jin Woong Kim
PURPOSE: To evaluate the risk factors and efficacy of a povidone-iodine enema on infectious complications after transrectal ultrasound-guided prostate biopsy. METHODS: A total of 814 males who underwent transrectal ultrasound-guided prostate biopsy from January 2011 to December 2013 were evaluated retrospectively. Clinical variables, including demographics, prior antibiotic, or quinolone exposure, rectal swab culture results, povidone-iodine rectal cleansing, antibiotic prophylaxis, and infectious complications, were evaluated...
April 2015: International Urology and Nephrology
Dong Soo Park, Jin Ho Hwang, Don Kyung Choi, In Hyuck Gong, Young Kwon Hong, Sujin Park, Jong Jin Oh
BACKGROUND: To describe a preparatory protocol for prostate biopsy consisting of prophylaxis based on a third-generation cephalosporin and suppository-type povidone-iodine. METHODS: From January 2004 to May 2012 we reviewed infective complications in 1,684 patients who underwent transrectal ultrasound (TRUS)-guided prostate biopsy. All of the patients received prophylactic antibiotics through a single intravenous injection of a third-generation cephalosporin and cefixime at 100 mg PO for 5 d, with this regimen begun before biopsy, and were also given gynobetadine in a dose of 200 mg just before biopsy...
August 2014: Surgical Infections
Chunxiao Pu, Yunjin Bai, Haichao Yuan, Jinhong Li, Yin Tang, Jia Wang, Qiang Wei, Ping Han
PURPOSE: To evaluate the efficacy of povidone-iodine (PI) in reducing the risk of infectious complications following transrectal prostate biopsy (TRPB). METHODS: Eligible randomized controlled trials (RCTs) were identified from electronic databases (Cochrane CENTRAL, MEDLINE, and EMBASE). The database search, quality assessment, and data extraction were performed independently by two reviewers. The main outcome for the efficacy of PI was the incidence of infectious complications after TRPB...
September 2014: International Urology and Nephrology
Justin R Gyorfi, Christopher Otteni, Kevin Brown, Amar Patel, Kathleen Lehman, Brett E Phillips, Kalyan Dewan, Girish Kirimanjeswara, Jay D Raman
PURPOSE: The purpose of the study was to evaluate whether a peri-procedural povidone-iodine rectal preparation (PIRP) prior to transrectal ultrasound-guided prostate needle biopsy (TRUS PNB) can reduce microorganism colony counts and infectious complications. METHODS: Our institutional TRUS PNB database was reviewed to identify infectious post-biopsy complications (defined as fever >38.5 °C with positive culture). The last 570 biopsy patients were divided into those administered only preoperative oral and/or parenteral antibiotics (n = 456; chronologically cohorts A-D) versus men receiving peri-procedural PIRP in conjunction with standard preoperative antibiotics (n = 114; cohort E)...
August 2014: World Journal of Urology
Mahyar Ghafoori, Madjid Shakiba, Hamidreza Seifmanesh, Kamal Hoseini
BACKGROUND: Infection after transrectal ultrasound (TRUS) guided biopsy of the prostate is a major and potentially life-threatening problem. Using antibiotic premedication can not completely eliminate infection after biopsy. OBJECTIVES: We performed this study to determine the value of using povidone-iodine in prevention of post biopsy infection. PATIENTS AND METHODS: Totally, 280 patients who were referred for TRUS guided biopsy of the prostate were divided randomly into two equal groups...
June 2012: Iranian Journal of Radiology: a Quarterly Journal Published By the Iranian Radiological Society
Zeid Abughosh, Joseph Margolick, S Larry Goldenberg, Stephen A Taylor, Kourosh Afshar, Robert Bell, Dirk Lange, William R Bowie, Diane Roscoe, Lindsay Machan, Peter C Black
PURPOSE: Transrectal ultrasound guided prostate biopsy can lead to urinary tract infections in 3% to 11% and sepsis in 0.1% to 5% of patients. We investigated the efficacy of rectal cleansing with povidone-iodine before transrectal ultrasound guided prostate biopsy to reduce infectious complications. MATERIALS AND METHODS: Between 2009 and 2011, 865 men were prospectively randomized to rectal cleansing (421) or no cleansing (444) before transrectal ultrasound guided prostate biopsy...
April 2013: Journal of Urology
Jose Maria Gil-Vernet Sedo, Ricardo Alvarez-Vijande García
OBJECTIVES: To assess the incidence of genitourinary infections associated with transrectal ultrasound-guided prostate biopsy (TRUS-BX) using endorectal povidone-iodine gel as a bactericidal agent. METHODS: We prospectively studied a total of 530 patients who were given 30g of 10% povidone-iodine intrarectally before TRUS-BX. Each patient received antibiotic prophylaxis with ciprofloxacin, starting the previous day (1g/day x 3 days), as well as cleansing enemas...
May 2012: Archivos Españoles de Urología
Gokhan Koc, Sitki Un, Devrim Nihat Filiz, Kaan Akbay, Yuksel Yilmaz
PURPOSE: To determine the effect of washing the biopsy needle with povidone-iodine solution on infection rates after transrectal ultrasonography-guided prostate biopsy. PATIENTS AND METHODS: 180 patients with transrectal prostate biopsy were included. Infection was excluded with midstream urine culture before biopsy, and patients were divided into two groups. In group 1 (n = 84), the needle was washed with povidone-iodine after each material reception during biopsy, and in group 2 (n = 96), it was not...
2010: Urologia Internationalis
Panupong Kanjanawongdeengam, Wit Viseshsindh, Pitak Santanirand, Prapapan Prathombutr, Supannee Nilkulwattana
OBJECTIVE: To determine the efficacy of rectum sterilization before TRUS guided prostate biopsy in order to decrease bacteremia rate and sepsis complication. MATERIAL AND METHOD: From August 2008 to March 2009, 100 volunteers who had an indication for prostate biopsy were recruited into the present study in a randomized controlled trial. The present study was approved by the Ethics Committee on Human Experimentation of Ramathibodi Hospital Faculty of Medicine, Mahidol University...
December 2009: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Dong Soo Park, Jong Jin Oh, Jin Ha Lee, Woong Ki Jang, Young Kwon Hong, Sung Keun Hong
Purpose. To determine the effect of simple use of suppository povidone-iodine on infectious complications after transrectal ultrasonography-guided biopsy of the prostate. Methods. All 481 patients are included and received antibiotic prophylaxis. Among them, 360 patients received povidone-iodine suppository (Gynobetadine; 200 mg) immediately prior to biopsy and 121 patients did not. Infectious complications were classified. To evaluate bactericidal effects, we counted bacterial colonies in the rectum, harvested from a rectal swab before insertion of the suppository and after biopsy...
2009: Advances in Urology
Yun-Ching Huang, Dong-Ru Ho, Ching-Fang Wu, Jia-Jen Shee, Wei-Yu Lin, Chih-Shou Chen
BACKGROUND: Infectious complications after ultrasound guided prostate biopsy are an important issue of concern. We found a higher infection rate with traditional bowel preparation, the phosphate enema, for prostate biopsy and so we modified our technique. In addition, we tried to assess the efficacy of this modified method for aged patients in an agricultural area who have poor compliance or inaccuracy when self-administering bowel preparations. METHODS: Between April 2002 and May 2005, all patients who received prostate biopsy were reviewed retrospectively...
July 2006: Chang Gung Medical Journal
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"