Walker Jordon T, Singla Nirmish, Roehrborn Claus G
Department of Urology, University of Texas Southwestern Medical Center Dallas, TX.
Rev Urol. 2016;18(2):73-89. doi: 10.3909/riu0713.
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. Recent international travel appears to increase patients' risk for experiencing infections. These findings can aid clinicians in minimizing post-TRUS-Bx infectious complications.
抗菌耐药性尿路病原体的增加导致经直肠超声引导下前列腺穿刺活检（TRUS-Bx）后全球感染率上升。我们对Ovid MEDLINE®和PubMed进行了系统检索，以全面回顾减轻感染的策略。在检索到的1664篇文章中，纳入了62篇。数据表明，在抗菌耐药率高的地区，强化预防和聚维酮碘肠道准备值得考虑。在某些情况下，经会阴穿刺活检可能是TRUS-Bx更安全、同样有效的替代方法。近期国际旅行似乎会增加患者感染的风险。这些发现有助于临床医生将TRUS-Bx后的感染并发症降至最低。
