Journal
UROLOGY
Volume 104, Issue -, Pages 11-21Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.urology.2016.12.011
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Funding
- Avant Mutual Group Ltd.
- Cancer Council Queensland PhD Scholarship
- Discipline of Surgery, School of Medicine
- University of Queensland, Australia
- Australian Postgraduate Award from the University of Queensland
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A systematic review to identify risk factors for prostate biopsy-related infection, preventative strategies, and optimal management of infectious complications was conducted. Significant risk factors for postbiopsy infection include urogenital infection, antibiotic use, international travel, hospital exposure, bacteriuria, previous transrectal biopsy, and resistance of fecal flora to antibiotic prophylaxis (especially fluoroquinolones). Patients at risk may benefit from an adjusted biopsy protocol comprising transrectal biopsy under targeted prophylaxis, and/or the use of rectal disinfection techniques or using a transperineal approach. Management of biopsy-related infection should be based on individual risk and local resistance profiles with input from multiple specialties. (C) 2016 Elsevier Inc.
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