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The Scientific World Journal
Volume 2012 (2012), Article ID 650858, 4 pages
http://dx.doi.org/10.1100/2012/650858
Clinical Study

Prospective Study of Antibiotic Prophylaxis for Prostate Biopsy Involving >1100 Men

1Department of Urology, Adelaide and Meath Hospital, Tallaght, Dublin 24, Ireland
2Department of Microbiology, Adelaide and Meath Hospital, Tallaght, Dublin 24, Ireland

Received 11 October 2011; Accepted 21 December 2011

Academic Editors: K. M. Azadzoi and J. P. F. A. Heesakkers

Copyright © 2012 Rustom P. Manecksha et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We aimed to compare infection rates for two 3-day antibiotic prophylaxis regimens for transrectal ultrasound-guided prostate biopsy (TRUSgbp) and demonstrate local microbiological trends. In 2008, 558 men and, in 2009, 625 men had TRUSgpb. Regimen 1 (2008) comprised 400 mg Ofloxacin immediately before biopsy and 200 mg 12-hourly for 3 days. Regimen 2 (2009) comprised Ofloxacin 200 mg 12-hourly for 3 days commencing 24 hours before biopsy. 20/558 (3.6%) men had febrile episodes with regimen 1 and 10/625 (1.6%) men with regimen 2 ( 𝑃 = 0 . 0 3 ). E. coli was the most frequently isolated organism. Overall, 7/13 (54%) of positive urine cultures were quinolone resistant and (5/13) 40% were multidrug resistant. Overall, 5/9 (56%) patients with septicaemia were quinolone resistant. All patients were sensitive to Meropenem. There was 1 (0.2%) death with regimen 1. Commencing Ofloxacin 24 hours before TRUSgpb reduced the incidence of febrile episodes significantly. We observed the emergence of quinolone and multidrug-resistant E. coli. Meropenem should be considered for unresolving sepsis.