Importance of Transrectal Povidone-iodine Activity in Reducing Infections After Prostate Biopsy   
Yazarlar (2)
Doç. Dr. Fatih FIRAT Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Dr. Öğr. Üyesi Kenan YALÇIN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale
Makale Alt Türü ESCI dergilerinde yayınlanan tam makale
Dergi Adı Üroonkoloji Bülteni
Dergi ISSN 2147-2122
Dergi Tarandığı Indeksler ESCI
Makale Dili İngilizce
Basım Tarihi 12-2024
Cilt No 23
Sayı 4
Sayfalar 106 / 110
DOI Numarası 10.4274/uob.galenos.2024.2024.1.1
Makale Linki https://uroonkolojibulteni.com/
Özet
Objective: To investigate the effectiveness of transrectal povidone-iodine antiseptic solution in minimizing infections following transrectal ultrasound-guided prostate biopsy. Materials and Methods: We retrospectively analyzed the medical records of 240 patients who underwent TRUS-guided biopsy at our clinic between January 2016 and December 2020. All patients received antibiotic prophylaxis prior to the procedure. The patients were categorized into three groups: Group 1, which served as the control, received only antibiotic prophylaxis; Group 2, which consisted of patients administered transrectal povidone-iodine via a catheter syringe; and Group 3, which underwent povidone-iodine rectal cleansing. The primary objective was to compare infection rates and complications among the three groups, with a particular emphasis on the combined effect of povidone-iodine and prophylactic antibiotics versus antibiotics alone. Results: Infection rates were notably reduced in patients who received povidone-iodine interventions (p<0.05). Febrile infections occurred in 10 cases (4.25%) patients in Group 1, in whom ciprofloxacin alone was administered. In contrast, febrile complications were observed in 3 cases in Group 2, and only 2 cases in Group 3, corresponding to rates of 1.3% and 0.8%, respectively. Conclusion: The combination of transrectal povidone-iodine and prophylactic antibiotics demonstrated significant efficacy in minimizing febrile infectious complications associated with TRUS-guided biopsy.
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