Standardized protocol in preventing postoperative infectious complications after transrectal ultrasound-guided prostate biopsy

A retrospective study of 246 patients

Pao Hwa Chen, Chin Pao Chang, Bai Fu Wang, Jesen Lin, Heng Chieh Chiang, Meng Yi Yan, Sheng Hsien Huang, Chun Chi Chen, Hung Jen Shih, Jian Xiang Zhang

Research output: Contribution to journalArticle

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Abstract

Objective This study was carried out to compare infectious complications between patients with and without a set protocol for prostate biopsy. Materials and methods Patients whom underwent prostate biopsy at our hospital from 2001 to 2012 were first identified. Two different groups of patients were then selected from 2 different years. The cut-off year in which we started to implement a standardized protocol for prostate biopsy was 2007. Data from the patient group without a set protocol were collected from January 2001 to December 2001. Data from the patient group with a set protocol were collected from January 2012 to December 2012. Results A total of 246 patients were selected from 2 different years. Ninety-two patients were collected from January to December 2001 (without set protocol). One hundred and fifty-four patients were collected from January to December 2012 (with set protocol). In the first group, the infectious complication rate was 10.75% (10/92), whereas in the second group, the infection rate was 1.3% (2/154). All minor complications (such as hematuria, hematospermia, dysuria, etc.) were self-resolving within 1 month. Most infectious complications were managed during outpatient department (OPD) hours with oral antibiotics. Only one patient required hospitalization (from 2001). None of the positive culture results revealed any resistant strain species. Conclusion The minor complications were similar in both groups and were all self-resolving. Infectious complications were more prevalent in the group without a set protocol. Adequate perioperative preparation and postoperative antibiotic regimens appear to be helpful in the prevention of infectious complications.

Original languageEnglish
Pages (from-to)140-143
Number of pages4
JournalUrological Science
Volume27
Issue number3
DOIs
Publication statusPublished - Sep 1 2016
Externally publishedYes

Fingerprint

Prostate
Retrospective Studies
Biopsy
Hemospermia
Anti-Bacterial Agents
Dysuria
Hematuria
Hospitalization
Outpatients
Infection

Keywords

  • biopsy
  • complication
  • infection
  • prostate
  • trans-rectal

ASJC Scopus subject areas

  • Urology

Cite this

Standardized protocol in preventing postoperative infectious complications after transrectal ultrasound-guided prostate biopsy : A retrospective study of 246 patients. / Chen, Pao Hwa; Chang, Chin Pao; Wang, Bai Fu; Lin, Jesen; Chiang, Heng Chieh; Yan, Meng Yi; Huang, Sheng Hsien; Chen, Chun Chi; Shih, Hung Jen; Zhang, Jian Xiang.

In: Urological Science, Vol. 27, No. 3, 01.09.2016, p. 140-143.

Research output: Contribution to journalArticle

Chen, Pao Hwa ; Chang, Chin Pao ; Wang, Bai Fu ; Lin, Jesen ; Chiang, Heng Chieh ; Yan, Meng Yi ; Huang, Sheng Hsien ; Chen, Chun Chi ; Shih, Hung Jen ; Zhang, Jian Xiang. / Standardized protocol in preventing postoperative infectious complications after transrectal ultrasound-guided prostate biopsy : A retrospective study of 246 patients. In: Urological Science. 2016 ; Vol. 27, No. 3. pp. 140-143.
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abstract = "Objective This study was carried out to compare infectious complications between patients with and without a set protocol for prostate biopsy. Materials and methods Patients whom underwent prostate biopsy at our hospital from 2001 to 2012 were first identified. Two different groups of patients were then selected from 2 different years. The cut-off year in which we started to implement a standardized protocol for prostate biopsy was 2007. Data from the patient group without a set protocol were collected from January 2001 to December 2001. Data from the patient group with a set protocol were collected from January 2012 to December 2012. Results A total of 246 patients were selected from 2 different years. Ninety-two patients were collected from January to December 2001 (without set protocol). One hundred and fifty-four patients were collected from January to December 2012 (with set protocol). In the first group, the infectious complication rate was 10.75{\%} (10/92), whereas in the second group, the infection rate was 1.3{\%} (2/154). All minor complications (such as hematuria, hematospermia, dysuria, etc.) were self-resolving within 1 month. Most infectious complications were managed during outpatient department (OPD) hours with oral antibiotics. Only one patient required hospitalization (from 2001). None of the positive culture results revealed any resistant strain species. Conclusion The minor complications were similar in both groups and were all self-resolving. Infectious complications were more prevalent in the group without a set protocol. Adequate perioperative preparation and postoperative antibiotic regimens appear to be helpful in the prevention of infectious complications.",
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AU - Yan, Meng Yi

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N2 - Objective This study was carried out to compare infectious complications between patients with and without a set protocol for prostate biopsy. Materials and methods Patients whom underwent prostate biopsy at our hospital from 2001 to 2012 were first identified. Two different groups of patients were then selected from 2 different years. The cut-off year in which we started to implement a standardized protocol for prostate biopsy was 2007. Data from the patient group without a set protocol were collected from January 2001 to December 2001. Data from the patient group with a set protocol were collected from January 2012 to December 2012. Results A total of 246 patients were selected from 2 different years. Ninety-two patients were collected from January to December 2001 (without set protocol). One hundred and fifty-four patients were collected from January to December 2012 (with set protocol). In the first group, the infectious complication rate was 10.75% (10/92), whereas in the second group, the infection rate was 1.3% (2/154). All minor complications (such as hematuria, hematospermia, dysuria, etc.) were self-resolving within 1 month. Most infectious complications were managed during outpatient department (OPD) hours with oral antibiotics. Only one patient required hospitalization (from 2001). None of the positive culture results revealed any resistant strain species. Conclusion The minor complications were similar in both groups and were all self-resolving. Infectious complications were more prevalent in the group without a set protocol. Adequate perioperative preparation and postoperative antibiotic regimens appear to be helpful in the prevention of infectious complications.

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