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前列腺经直肠活检的抗生素预防:单剂量口服氟喹诺酮与复方新诺明预防性使用的前瞻性随机研究

Antibiotic prophylaxis for transrectal biopsy of the prostate: a prospective randomized study of the prophylactic use of single dose oral fluoroquinolone versus trimethoprim-sulfamethoxazole.

作者信息

Isen K, Küpeli B, Sinik Z, Sözen S, Bozkirli I

机构信息

Department of Urology, Gazi University, Faculty of Medicine, Ankara, Turkey.

出版信息

Int Urol Nephrol. 1999;31(4):491-5. doi: 10.1023/a:1007115312039.

DOI:10.1023/a:1007115312039
PMID:10668944
Abstract

We investigated the efficacy of prophylactic use of single dose oral ofloxacin and trimethoprim-sulfamethoxazole regimens for transrectal prostate biopsy in 110 men. In the ofloxacin, trimethoprim-sulfamethoxazole and control groups, urinary infection was found in 2 (4.76%), 3 (6.66%) and 6 (26.08%) patients, respectively. Both of these antibiotic regimens produced a statistically significant reduction in urinary infection (p<0.02, p<0.05). Our study indicates that single dose fluoroquinolone or trimethoprim-sulfamethoxazole prophylaxis seems to be effective, practical and economical.

摘要

我们研究了110名男性经直肠前列腺活检时单剂量口服氧氟沙星及甲氧苄啶-磺胺甲恶唑预防性用药方案的疗效。在氧氟沙星组、甲氧苄啶-磺胺甲恶唑组和对照组中,分别有2例(4.76%)、3例(6.66%)和6例(26.08%)患者发生泌尿系统感染。这两种抗生素方案均使泌尿系统感染率出现具有统计学意义的降低(p<0.02,p<0.05)。我们的研究表明,单剂量氟喹诺酮类药物或甲氧苄啶-磺胺甲恶唑预防用药似乎有效、实用且经济。

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Antibiotic prophylaxis for transrectal biopsy of the prostate: a prospective randomized study of the prophylactic use of single dose oral fluoroquinolone versus trimethoprim-sulfamethoxazole.前列腺经直肠活检的抗生素预防:单剂量口服氟喹诺酮与复方新诺明预防性使用的前瞻性随机研究
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World J Urol. 2024 Apr 25;42(1):260. doi: 10.1007/s00345-024-04969-4.
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Comparison of guideline recommendations for antimicrobial prophylaxis in urologic procedures: variability, lack of consensus, and contradictions.泌尿外科手术中抗菌药物预防应用指南推荐的比较:变异性、缺乏共识及矛盾之处
Int Urol Nephrol. 2018 Nov;50(11):1923-1937. doi: 10.1007/s11255-018-1971-1. Epub 2018 Aug 25.
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Antibiotic use in urological surgeries: a six years review at Muhimbili National Hospital, Dar es salaam-Tanzania.

本文引用的文献

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Needle biopsy of the prostate: a re-evaluation.前列腺穿刺活检:重新评估
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Transrectal biopsy to detect prostatic carcinoma: a review and report of 203 cases.经直肠活检检测前列腺癌:203例病例回顾与报告
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Antibiotic prophylaxis for transrectal prostate biopsy.经直肠前列腺活检的抗生素预防
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Using biopsy to detect prostate cancer.使用活检来检测前列腺癌。
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Time of administration of a single dose of oral levofloxacin and its effect in infectious complications from transrectal prostate biopsy.
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Efficacy of 1-day prophylaxis medication with fluoroquinolone for prostate biopsy.氟喹诺酮类药物一日预防用药在前列腺活检中的疗效。
World J Urol. 2005 Nov;23(5):356-60. doi: 10.1007/s00345-005-0024-4. Epub 2005 Oct 28.
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Prevention of surgical site infection after open prosthetic inguinal hernia repair: efficacy of parenteral versus oral prophylaxis with amoxicillin-clavulanic acid in a randomized clinical trial.开放性人工腹股沟疝修补术后手术部位感染的预防:阿莫西林-克拉维酸肠外预防与口服预防在一项随机临床试验中的疗效
World J Surg. 2005 Jun;29(6):794-9. doi: 10.1007/s00268-005-7689-0.
经直肠超声引导下前列腺系统六分区活检的并发症:在一项基于人群的筛查项目中对并发症发生率及风险因素的评估
Urology. 1997 Jun;49(6):875-80. doi: 10.1016/s0090-4295(97)00100-3.
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Antibiotic prophylaxis for transrectal prostate biopsy.经直肠前列腺活检的抗生素预防
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Infection after transrectal core biopsies of the prostate--risk factors and antibiotic prophylaxis.经直肠前列腺穿刺活检后的感染——危险因素及抗生素预防
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Multiple transrectal ultrasound-guided prostatic biopsies--true morbidity and patient acceptance.多次经直肠超声引导下前列腺穿刺活检——真实的发病率及患者接受度
Br J Urol. 1993 Apr;71(4):460-3. doi: 10.1111/j.1464-410x.1993.tb15993.x.
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Transrectal ultrasound examination of the prostate: complications and acceptance by patients.经直肠前列腺超声检查:并发症及患者接受度
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Antimicrobial prophylaxis for transrectal prostatic biopsy: a prospective randomized trial of cefuroxime versus piperacillin/tazobactam.经直肠前列腺活检的抗菌预防:头孢呋辛与哌拉西林/他唑巴坦的前瞻性随机试验。
Br J Urol. 1995 Sep;76(3):351-4. doi: 10.1111/j.1464-410x.1995.tb07713.x.
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Systematic sextant biopsies in 651 patients referred for prostate evaluation.对651名因前列腺评估前来就诊的患者进行系统的六分区活检。
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