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Infektionsprophylaxe bei der Prostatastanzbiopsie

Prophylaxis of infectious complications following prostate biopsy

Der Urologe volume 56, pages 759–763 (2017)Cite this article

Zusammenfassung

Verschiedene Strategien existieren, um Infektionskomplikationen nach Prostatastanzbiopsie zu reduzieren. Hierbei sind an technischen Aspekten die Anzahl der Biopsiezylinder, die Größe der Nadel, der Biopsiezugang, eine begleitende lokale Infiltrationsanästhesie, abführende Maßnahmen und intrarektale Desinfektionsmaßnahmen mit Povidon-Jod zu nennen. Auf antibiotischer Ebene stellen sich Fragen nach dem optimalen Antibiotikum, der Dauer der Prophylaxe, einer antibiotischen Kombinationstherapie und einer zielgerichteten Antibiotikatherapie auf der Basis eines Rektalabstrichs. Die vorliegende Übersichtsarbeit gibt Antworten zu den verschiedenen Aspekten.

Abstract

Different strategies have been developed to reduce infectious complications following prostate biopsy. Various technical aspects like number of biopsies, needle size, route of biopsy, periprostatic nerve blockade, rectal preparation by enema, or disinfection with povidone-iodine have to be discussed. Regarding antibiotic therapy, choosing the optimal antibiotic, the duration of prophylaxis, combination therapy, and rectal swab-based antimicrobial therapy are of major interest. The current review gives answers to the different aspects.

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Affiliations

  1. Klinik und Poliklinik für Urologie, Kinderurologie und Andrologie, Justus-Liebig-Universität Gießen, Rudolf-Buchheim-Str. 7, 35392, Gießen, Deutschland

    A. Pilatz, G. Lüdecke & F. Wagenlehner

Authors
  1. A. Pilatz
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  2. G. Lüdecke
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  3. F. Wagenlehner
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Corresponding author

Correspondence to A. Pilatz.

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Interessenkonflikt

A. Pilatz ist Erstautor des laufenden systematischen Cochrane Reviews [12]. G. Lüdecke und F. Wagenlehner geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Pilatz, A., Lüdecke, G. & Wagenlehner, F. Infektionsprophylaxe bei der Prostatastanzbiopsie. Urologe 56, 759–763 (2017). https://doi.org/10.1007/s00120-017-0392-6

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  • DOI: https://doi.org/10.1007/s00120-017-0392-6

Schlüsselwörter

  • Infektionen
  • Prostatakarzinom
  • Urosepsis
  • Antibiotika
  • Kombinationstherapie

Keywords

  • Infections
  • Prostate cancer
  • Urosepsis
  • Antibiotics
  • Combination therapy