| Revista: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000434908 |
| ISSN: | 1677-5538 |
| Autores: | Chen, Yu-Chen1 Chen, Hao-Wei1 Huang, Shu-Pin2 Yeh, Hsin-Chin3 Li, Ching-Chia2 |
| Instituciones: | 1Kaohsiung Medical University, College of Medicine, Kaohsiung. Taiwán 2Kaohsiung Medical University, Kaohsiung Medical University Hospital, Kaohsiung. Taiwán 3Kaohsiung Municipal Ta-Tung Hospital, Department of Urology, Kaohsiung. Taiwán |
| Año: | 2018 |
| Periodo: | Nov-Dic |
| Volumen: | 44 |
| Número: | 6 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Objectives: Previous studies have compared infectious outcomes on the basis of whether rectal preparation was performed; however, they failed to evaluate the quality of each rectal preparation, which may have led to confounding results. This study aimed to compare hospitalizations for urosepsis within 1 month after transrectal ultrasound-guided prostate biopsy between patients with adequate and traditional rectal preparations. Materials and Methods: Between January 2011 and December 2016, a total of 510 patients who underwent transrectal ultrasound - guided prostate biopsy at our institutions and were orally administered prophylactic antibiotics (levofloxacin) were included. Two rectal preparations were performed: (1) adequate rectal preparation confirmed by digital rectal examination and transrectal ultrasound (Group A, n = 310) and (2) traditional rectal preparation (Group B, n = 200). All patient characteristics were recorded. A logistic regression model was used to assess the effects of the two different rectal preparations on urosepsis, adjusted by patient characteristics. Results: There were a total of three and nine hospitalizations for urosepsis in Groups A and B, respectively. Differences in the demographic data between the two groups were insignificant. Logistic regression showed that adequate rectal preparation before biopsy significantly decreased the risk for urosepsis after biopsy (adjusted odds ratio: 0.2; 95% confidence interval: 0.05 – 0.78; P = 0.021). Conclusions: Adequate rectal preparation could significantly reduce hospitalizations for urosepsis within 1 month after transrectal ultrasound-guided prostate biopsy. The quality of rectal preparation should be evaluated before biopsy. If adequate rectal preparation is not achieved, postponing the biopsy and adjusting the rectal preparation regimen are suggested |
| Disciplinas: | Medicina |
| Palabras clave: | Oncología, Urología, Cirugía, Próstata, Biopsia transrectal, Complicaciones postoperatorias, Control de infecciones, Urosepsis |
| Keyword: | Oncology, Urology, Surgery, Prostate, Transrectal biopsy, Postoperative complications, Infections control, Urosepsis |
| Texto completo: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
