Pilatz A, Lüdecke G, Wagenlehner F
Klinik und Poliklinik für Urologie, Kinderurologie und Andrologie, Justus-Liebig-Universität Gießen, Rudolf-Buchheim-Str. 7, 35392, Gießen, Deutschland.
Urologe A. 2017 Jun;56(6):759-763. doi: 10.1007/s00120-017-0392-6.
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.
已经制定了不同的策略来减少前列腺活检后的感染并发症。必须讨论各种技术方面的问题,如活检次数、针的大小、活检途径、前列腺周围神经阻滞、灌肠直肠准备或聚维酮碘消毒。关于抗生素治疗,选择最佳抗生素、预防持续时间、联合治疗以及基于直肠拭子的抗菌治疗是主要关注点。本综述对不同方面给出了答案。