Clinical Study

Quinolone Prophylaxis in Transrectal Ultrasound Guided Prostate Biopsy: An Eight-Year Single Center Experience

Table 1

Patient characteristics and clinical presentation of infectious complications.

GroupA (pipemidic acid based prophylaxis)B (levofloxacin prophylaxis)P value

Patient characteristics
 Patients ( )13132381
 Age, yrs (mean ± SD)67.8 ± 10.467.7 ± 9.80.47
 PSAa, ng/mL (mean ± SD) 60.0 ± 432.270 ± 437.50.5
 Sextant biopsy732 (55.8%)714 (30.0%)<0.001
 ≥12 core biopsy581 (44.2%)1667 (70.0%)<0.001
 Outpatient clinic562 (42.8%)631 (26.5%)<0.001
 Prostate cancer342 (26.0%)759 (31.9%)<0.001
 Chronic inflammation118 (9.0%)82 (3.4%)<0.001
 Infectious complications48 (3.7%)25 (1.0%)<0.001
Clinical presentations
 Post-op day (mean ± SD)1.7 ± 1.71.2 ± 0.70.42
 Pyuria (n b, %)22/38 (57.9%)16/17 (94.1%)0.006
 Leukocytosis (n c, %)27/42 (64.3%)10/19 (52.6%)0.41
 Prolonged hospitalization, days (mean ± SD)6.4 ± 6.35.0 ± 3.40.31
 Positive urine culture (n d, %)16/48 (33.3%)15/25 (60%)0.046
 Positive blood culture (n e, %)24/48 (50%)12/25 (48%)1

The median PSA level is 10.1 and 10.0 ng/mL in group A and group B, respectively.
bn: the number of patients with pyuria/the number of patients receiving urine analyses.
cn: the number of patients with leukocytosis/the number of patients receiving blood tests.
dn: the number of patients with positive urine culture/the number of patients receiving urine culture.
en: the number of patients with positive blood culture/the number of patients receiving blood culture.