We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Positive Culture Prior to Transperineal Prostate Biopsy Was Not Associated with Post-Biopsy Febrile Urinary Tract Infection Development.
- Authors
Tohi, Yoichiro; Fujiwara, Kengo; Harada, Satoshi; Matsuda, Iori; Ito, Ayako; Yamasaki, Mari; Miyauchi, Yasuyuki; Matsuoka, Yuki; Kato, Takuma; Taoka, Rikiya; Tsunemori, Hiroyuki; Ueda, Nobufumi; Sugimoto, Mikio
- Abstract
Purpose: To investigate the association between urine culture before transperineal prostate biopsy and post-biopsy febrile urinary tract infection (fUTI). Patients and Methods: We retrospectively reviewed 307 patients who underwent urine culture before transperineal prostate biopsy between April 2017 and September 2020. Patients with indwelling urinary catheters (n=7) were excluded. Urine culture was performed 1– 3 days before the biopsy, and all patients received prophylactic cefazolin regardless of culture results. A urine culture was defined as positive if cell density was more than 1× 105 colony-forming units per mL. Baseline characteristics and the incidence of post-biopsy fUTI were compared between patients showing positive pre-biopsy culture results and those showing negative findings. Results: Out of 300, seven patients (2.3%) had positive urine culture results before the biopsy. Age (p=0.077); prostate-specific antigen at diagnosis (p=0.267); prostate volume (p=0.78); number of biopsy cores (p=0.277); percentage of patients testing positive for cancer on biopsy (p=0.71); and percentages of patients with a history of biopsy (p> 0.999), diabetes mellitus (p=0.604), and immunosuppressive medication use (p> 0.999) were similar between the two groups. No patient in the positive urine culture group had post-biopsy fUTI. However, 1.7% (five patients) of the negative urine culture group had the disease (p> 0.999) (four patients with prostatitis and one with pyelonephritis). Among them, two patients were diagnosed by urine culture at the time of post-biopsy fUTI. Conclusion: In asymptomatic patients, positive pre-biopsy cultures were not associated with the development of post-biopsy fUTI.
- Subjects
URINARY tract infections; PROSTATE biopsy; PROSTATE cancer; URINARY catheters; PROSTATE-specific antigen; IMPLANTABLE catheters; COLONY-forming units assay
- Publication
Research & Reports in Urology, 2021, Vol 13, p691
- ISSN
2253-2447
- Publication type
Article
- DOI
10.2147/RRU.S333724