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Modification of Antimicrobial Prophylaxis Based on Rectal Culture Results to Prevent Fluoroquinolone-Resistant Escherichia coli Infections after Prostate Biopsy

Published online by Cambridge University Press:  02 January 2015

Nuntra Suwantarat ,
Donald M. Dumford III ,
Rafael Ponce-Terashima ,
Sirisha Kundrapu ,
Trina F. Zabarsky ,
Hui Zhu  and
Curtis J. Donskey
Nuntra Suwantarat
Affiliation:
Department of Medicine, Division of Infectious Diseases and HIV Medicine, University Hospitals of Cleveland, Cleveland, Ohio
Donald M. Dumford III
Affiliation:
Department of Medicine, Division of Infectious Diseases and HIV Medicine, University Hospitals of Cleveland, Cleveland, Ohio
Rafael Ponce-Terashima
Affiliation:
Department of Medicine, Division of Infectious Diseases and HIV Medicine, University Hospitals of Cleveland, Cleveland, Ohio
Sirisha Kundrapu
Affiliation:
Department of Medicine, Division of Infectious Diseases and HIV Medicine, University Hospitals of Cleveland, Cleveland, Ohio
Trina F. Zabarsky
Affiliation:
Infection Control Department, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Hui Zhu
Affiliation:
Surgery Service, Urology Section, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Curtis J. Donskey*
Affiliation:
Infection Control Department, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio Geriatric Research, Education, and Clinical Center, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
*
Geriatric Research, Education, and Clinical Center 1110W, Cleveland Veterans Affairs Medical Center, 10701 East Boulevard, Cleveland, OH 44106 ([email protected])
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Extract

For patients undergoing transrectal ultrasound-guided biopsy of the prostate (TRUBP), use of rectal screening culture results to guide antimicrobial prophylaxis was effective for prevention of fluoro-quinolone-resistant Escherichia coli infections. In practice, elimination of infections after TRUBP required the rectal screening protocol and addition of gentamicin for patients missing prior screening.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 9 , September 2013 , pp. 973 - 976
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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References

1.Loeb, S, Carter, HB, Berndt, SI, Ricker, W, Shaeffer, EM. Complications after prostate biopsy: data from SEER-Medicine. J Urol 2011;186:1830–1834.Google Scholar
2.Williamson, DA, Barrett, LK, Rogers, BA, Freeman, JT, Hadway, P, Paterson, DL. Infectious complications following transrectal ultrasound-guided prostate biopsy: new challenges in the era of multidrug-resistant Escherichia coli. Clin Infect Dis 2013;57:267–274.Google Scholar
3.Wolf, JS Jr, Bennett, CJ, Dmochowski, RR, Hollenbeck, BK, Pearle, MS, Shaeffer, AJ; Urologie Surgery Antimicrobial Prophylaxis Best Practice Policy Panel. Best practice policy statement on urologie surgery antimicrobial prophylaxis. J Urol 2008; 179: 1379–1390.Google Scholar
4.Feliciano, J, Teper, E, Ferrandino, M, et al.The incidence of fluoroquinolone resistant infections after prostate biopsy: are fluoroquinolones still effective prophylaxis? J Urol 2008;179:952–955.Google Scholar
5.Liss, MA, Chang, A, Santos, R, et al.Prevalence and significance of fluoroquinolone resistant Escherichia coli in patients undergoing transrectal ultrasound guided prostate needle biopsy. J Urol 2011;185:1283–1288.Google Scholar
6.Dumford, DM III, Suwantarat, N, Bhasker, V, Kundrapu, S, Drawz, P, Donskey, CJ. Outbreak of fluoroquinolone-resistant Escherichia coli infections after transrectal ultrasound-guided prostate biopsy. Infect Control Hosp Epidemiol 2013;34:269–273.CrossRefGoogle Scholar
7.Taylor, AK, Zembower, TR, Nadler, RB, et al.Targeted antimicrobial prophylaxis using rectal swab cultures in men undergoing transrectal ultrasound guided prostate biopsy is associated with reduced incidence of postoperative infectious complications and cost of care. J Urol 2012;187:1275–1279.CrossRefGoogle ScholarPubMed
8.Duplessis, CA, Bavaro, M, Simons, MP, et al.Rectal cultures before transrectal ultrasound-guided prostate biopsy reduce post-pro-static biopsy infection rates. Urology 2012;79:556–563.CrossRefGoogle ScholarPubMed
9.Adibi, M, Hornberger, B, Bhat, D, Raj, G, Roehrborn, CG, Lotan, Y. Reduction in hospital admission rates due to post-prostate biopsy infections after augmenting standard antibiotic prophylaxis. J Urol 2013;189:535–540.Google Scholar
10.Batura, D, Rao, GG, Bo Nielsen, P, Charlett, A. Adding amikacin to fluoroquinolone-based antimicrobial prophylaxis reduces prostate biopsy infection rates. BJU Int 2011;107:760–764.CrossRefGoogle ScholarPubMed