Impact of Rectal Swabs on Infectious Complications after Transrectal Prostate Biopsy

Over 1 million men undergo biopsy in the United States each year to evaluate for prostate cancer (S. Loeb, H. B. Carter, S. I. Berndt, W. Ricker, and E. M. Schaeffer, J Urol 186:1830–1834, 2011,http://dx.doi.org/10.1016/j.juro.2011.06.057). In recent years, there has been a rise in infectious complications related to these procedures. This review aims to provide an overview of the guidelines that direct transrectal prostate biopsy, to describe associated infection, and to evaluate the published data driving the current trend toward prebiopsy screening for resistant organisms.

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MP25-19 EFFICACY OF RECTAL POVIDONE-IODINE SWABS IN DECREASING INFECTIOUS COMPLICATIONS AFTER TRANSRECTAL PROSTATE BIOPSY

The Journal of Urology ◽

10.1016/j.juro.2015.02.1222 ◽

2015 ◽

Vol 193 (4S) ◽

Author(s):

Jennifer J. Ahn ◽

Jason P. Van Batavia ◽

Mitchell C. Benson

Keyword(s):

Prostate Biopsy ◽

Povidone Iodine ◽

Infectious Complications ◽

Transrectal Prostate Biopsy

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Detection of Fluoroquinolone-Resistant Organisms from Rectal Swabs by Use of Selective Media Prior to a Transrectal Prostate Biopsy

Journal of Clinical Microbiology ◽

10.1128/jcm.01885-10 ◽

2010 ◽

Vol 49 (3) ◽

pp. 1116-1118 ◽

Cited By ~ 29

Author(s):

M. A. Liss ◽

A. N. Peeples ◽

E. M. Peterson

Keyword(s):

Prostate Biopsy ◽

Selective Media ◽

Rectal Swabs ◽

Transrectal Prostate Biopsy

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A Pilot study to evaluate Next Generation DNA Sequencing Testing in rectal swabs prior to transrectal prostate biopsy

European Urology Supplements ◽

10.1016/s1569-9056(17)31810-9 ◽

2017 ◽

Vol 16 (10) ◽

pp. e2656

Author(s):

V. Mouraviev ◽

M. Mcdonald ◽

S. Vourganti ◽

D. Albala ◽

F. Wagenlehner ◽

...

Keyword(s):

Pilot Study ◽

Dna Sequencing ◽

Prostate Biopsy ◽

Next Generation ◽

Next Generation Dna Sequencing ◽

Rectal Swabs ◽

Transrectal Prostate Biopsy

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Acute Aortic Valve Rupture from Infective Endocarditis after Transrectal Prostate Biopsy: A Call to Revise the AHA Guidelines for Prevention of Infective Endocarditis

Clinical Medicine Insights Case Reports ◽

10.4137/ccrep.s10503 ◽

2013 ◽

Vol 6 ◽

pp. CCRep.S10503 ◽

Cited By ~ 2

Author(s):

Julia Ansari ◽

Gurkaran Singh Garcha ◽

Henry Huang ◽

Faisal G. Bakaeen ◽

Salim S. Virani ◽

...

Keyword(s):

Infective Endocarditis ◽

Aortic Valve ◽

Prostate Biopsy ◽

Transrectal Ultrasound ◽

Febrile Illness ◽

Heart Association ◽

Infectious Complications ◽

Medical Work ◽

Intermittent Fever ◽

Transrectal Prostate Biopsy

We describe the case of a 63-year-old man with a known murmur who presented with a 4-month history of intermittent fever and a progressive reduction in energy level after a transrectal prostate biopsy (TRPB). He subsequently presented with acute heart failure secondary to aortic valve cusp rupture caused by endocarditis and underwent urgent aortic valve surgery. The 2008 American College of Cardiology/American Heart Association Guideline update on infective endocarditis has narrowed the use of antibiotic prophylaxis before most accepted dental procedures and continues to recommend against prophylaxis before genitourinary or gastrointestinal procedures. In contrast, the American Urological Association recommends the use of fluoroquinolones for the prevention of transrectal ultrasound–derived infectious complications. Notably, TRPB is associated with a high frequency of bacteremia and bacteriuria. In our case, an antibiotic course before the procedure and a more meticulous medical work-up after febrile illness might have mitigated the patient's catastrophic medical presentation.

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