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Ciprofloxacin-Ceftriaxone Combination Prophylaxis for Prostate Biopsy; Infective Complications

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dc.creator Ucar, Murat
dc.creator ÖZORAK, Alper
dc.creator Hoscan, Mustafa Burak
dc.creator Soyupek, Sedat
dc.creator OKSAY, Taylan
dc.creator Guzel, Ahmet
dc.creator ÖZTÜRK, Sefa Alperen
dc.creator Capkin, Tahsin
dc.creator KOŞAR, Alim
dc.date 2015-06-30T21:00:00Z
dc.date.accessioned 2020-10-06T10:25:53Z
dc.date.available 2020-10-06T10:25:53Z
dc.identifier 68bdeedf-fd89-4199-8b1f-cb1adc4b2691
dc.identifier 10.4328/jcam.2096
dc.identifier https://avesis.sdu.edu.tr/publication/details/68bdeedf-fd89-4199-8b1f-cb1adc4b2691/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/62376
dc.description Aim: To present our clinical experience about infective complications due to ultrasound guided transrectal prostate biopsy under ciprofloxacin plus third-generation cephalosporin (Ceftriaxone) combination prophylaxis. Material and Method: The 1193 patients that used combination of ceftriaxone 1 g intramuscular 1 hour before biopsy and ciprofloxacin 500 mg twice a day for 5 days after biopsy were included to study. Before biopsy, urine analysis and urinary cultures were not performed routinely. Serious infective complications such as acute prostatitis and urosepsis, causing microorganisms were evaluated. Results: Serious infective complications occurred in (1.3%) 16 patients. Fifteen of them had acute prostatitis and urine culture results were positive in 10/15 patients for Escherichia coli. The strains were uniformly resistant to ciprofloxacin. Only 1 patient had urosepsis and his blood and urine cultures demonstrated extended-spectrum beta-lactamase-producing (ESBL) Escherichia coli also resistant to ciprofloxacin. Antibiotic treatment-related side effects were not observed in any patient. Discussion: Although there is not a certain procedure, ciprofloxacin is the most common used antibiotic for transrectal prostate biopsy prophylaxis. On the other hand, the incidence of ciprofloxacin resistant Escherichia coli strain is increasing. Thus, new prophylaxis strategies have to be discussed. Ceftriaxone plus ciprofloxacin prophylaxis is safe and can be useable option for prophylaxis of prostate biopsy.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title Ciprofloxacin-Ceftriaxone Combination Prophylaxis for Prostate Biopsy; Infective Complications
dc.type info:eu-repo/semantics/article


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