We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Cultivo rectal para detección de gérmenes resistentes a fluoroquinolonas y reducción de riesgo de bacteriemia en pacientes llevados a biopsia de próstata en un hospital de nivel IV de atención.
- Authors
CASTELBLANCO, DIANA MARÍA; GUSTAVO TRUJILLO, CARLOS; GUILLERMO CATAÑO, JUAN; GÓMEZ, FELIPE; PLATA, MAURICIO
- Abstract
Objective: To identify fluoroquinolone resistance in rectal swabs before transrectal prostate biopsy. Materials and Methods: We reviewed clinical charts of patients who uderwent transrectal prostate biopsy between May 2011 and August 2013. We obtained a rectal swab one week before the procedure. Intake of fluoroquinolones 6 months before the biopsy was evaluated. Antibiotic prophylaxis was adjusted according the swab as follows: if it was resistant to fluoroquinolones the patient received ceftriaxone 1 g in one take, otherwise the patient received ciprofloxacine 500 mg 1 hour before the procedure and two times a day per 5 days. The follow-up was carried on during the first week before the procedure using a phone interview and during the first month with a scheduled appointment. We used the statistical software STATA 11.0. Results: A total of 761 patients underwent transrectal prostate biopsy, 554 patients had rectal swab, 254 showed resistant rectal swab, in whom 153 received Ciprofloxacin 6 months after the procedure, 7 % of all the patients presented bacteremia. None of the patients with Ceftriaxon as antibiotic prophylaxis presented bacteremia nor sepsis. Conclusions: Performing rectal swabs before biopsy is an useful strategy to identify the presence of fluoroquinolone resistant organisms, which allows to use a target antibiotic profilaxis and decrease the risk of bacteremia and infectious complications after biopsy.
- Subjects
DRUG resistance in bacteria; PROSTATE biopsy; BIOPSY complications; BACTEREMIA; FLUOROQUINOLONES; ANTIBIOTIC prophylaxis; DISEASE risk factors; THERAPEUTICS
- Publication
Universitas Médica, 2015, Vol 56, Issue 1, p11
- ISSN
0041-9095
- Publication type
Article