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经直肠前列腺穿刺活检术后的尿路感染

Urinary tract infection after transrectal needle biopsy of the prostate.

作者信息

Sharpe J R, Sadlowski R W, Finney R P, Branch W T, Hanna J E

出版信息

J Urol. 1982 Feb;127(2):255-6. doi: 10.1016/s0022-5347(17)53730-1.

DOI:10.1016/s0022-5347(17)53730-1
PMID:7062377
Abstract

After routine cleansing enemas 80 patients were randomized to undergo irrigation of the rectal vault with either povidone-iodine or saline. A transrectal prostatic needle biopsy then was performed. Antimicrobials were not used before biopsy and were only ordered after biopsy if fever developed or a positive urine culture was obtained. Over-all, 41 per cent of the patients had positive urine cultures post-biopsy and 44 per cent had febrile episodes. There was no significant difference between the group receiving the povidone-iodine versus those receiving saline irrigations.

摘要

在进行常规清洁灌肠后,80例患者被随机分为两组,分别接受聚维酮碘或生理盐水直肠灌洗。然后进行经直肠前列腺穿刺活检。活检前未使用抗菌药物,仅在活检后出现发热或尿培养阳性时才使用抗菌药物。总体而言,41%的患者活检后尿培养阳性,44%的患者出现发热。接受聚维酮碘灌洗的组与接受生理盐水灌洗的组之间无显著差异。

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1
Urinary tract infection after transrectal needle biopsy of the prostate.经直肠前列腺穿刺活检术后的尿路感染
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2
Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection.前列腺穿刺活检时使用聚维酮碘进行直肠准备是降低手术感染风险的一种简单且可重复的方法。
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Effectiveness of Intrarectal Povidone-iodine Cleansing Plus Formalin Disinfection of the Needle Tip in Decreasing Infectious Complications After Transrectal Prostate Biopsy: A Randomized Controlled Trial.经直肠前列腺活检术后经直肠使用聚维酮碘冲洗联合针芯福尔马林消毒降低感染性并发症的有效性:一项随机对照试验。
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Povidone-iodine rectal cleansing and targeted antimicrobial prophylaxis using rectal swab cultures in men undergoing transrectal ultrasound-guided prostate biopsy are associated with reduced incidence of postoperative infectious complications.在接受经直肠超声引导前列腺活检的男性中,使用聚维酮碘进行直肠清洁并根据直肠拭子培养结果进行针对性抗菌预防,与术后感染并发症发生率降低相关。
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[Antibacterial prophylaxis of bacteriuria at transrectal multifocal prostatic biopsy].
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[Intrarectal povidone-iodine to reduce the risk of genitourinary infections after transrectal prostate biopsy].
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[Urinary infection and transrectal needle biopsy (author's transl)].
Urologe A. 1974 Sep;13(5):242-3.

引用本文的文献

1
Correction: Infection risk reduction with povidone-iodine rectal disinfection prior to transrectal prostate biopsy: an updated systematic review and meta-analysis.更正:经直肠前列腺活检前使用聚维酮碘进行直肠消毒以降低感染风险:一项更新的系统评价和荟萃分析。
World J Urol. 2024 Sep 14;42(1):522. doi: 10.1007/s00345-024-05195-8.
2
Infection risk reduction with povidone-iodine rectal disinfection prior to transrectal prostate biopsy: an updated systematic review and meta-analysis.经直肠前列腺活检前使用聚维酮碘进行直肠消毒降低感染风险:一项更新的系统评价和荟萃分析
World J Urol. 2024 Apr 23;42(1):252. doi: 10.1007/s00345-024-04941-2.
3
Prostate biopsy techniques and pre-biopsy prophylactic measures: variation in current practice patterns in the Netherlands.
前列腺活检技术和活检前预防措施:荷兰当前实践模式的差异。
BMC Urol. 2020 Mar 12;20(1):24. doi: 10.1186/s12894-020-00592-8.
4
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.
5
Complications of transrectal ultrasound-guided prostate biopsy: impact of prebiopsy enema.经直肠超声引导下前列腺穿刺活检的并发症:活检前灌肠的影响
Korean J Urol. 2014 Nov;55(11):732-6. doi: 10.4111/kju.2014.55.11.732. Epub 2014 Nov 10.
6
Antibiotic prophylaxis for transrectal prostate biopsy.经直肠前列腺活检的抗生素预防
Cochrane Database Syst Rev. 2011 May 11(5):CD006576. doi: 10.1002/14651858.CD006576.pub2.
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Prevention of pain and infective complications after transrectal prostate biopsy: a prospective study.经直肠前列腺活检后疼痛及感染性并发症的预防:一项前瞻性研究。
Int Urol Nephrol. 2006;38(1):45-8. doi: 10.1007/s11255-005-8440-3.
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Transrectal ultrasound-guided prostate biopsy: is antibiotic prophylaxis necessary?经直肠超声引导下前列腺穿刺活检:是否需要预防性使用抗生素?
Eur Radiol. 2006 Apr;16(4):939-43. doi: 10.1007/s00330-005-0076-2. Epub 2006 Jan 4.
9
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Int Urol Nephrol. 1999;31(4):491-5. doi: 10.1023/a:1007115312039.
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Results of 317 transrectal puncture biopsies of the prostate.317例经直肠前列腺穿刺活检结果。
Int Urol Nephrol. 1984;16(2):133-9. doi: 10.1007/BF02082777.