Post-prostate biopsy acute bacterial prostatitis and screening cultures using selective media: An overview.
Herik AcostaTakuya SadahiraTakanori SekitoYuki MaruyamaTakehiro IwataMotoo ArakiKohei OgawaIchiro TsuboiKoichiro WadaPublished in: International journal of urology : official journal of the Japanese Urological Association (2022)
The development of several culture media and the availability to isolate and treat pathogens prior to a surgical procedure give us the ability to minimize treatment-related complications, and ultimately results in better outcomes for patients and avoidance of unwanted post-procedure inpatient admissions. In the last decade, an increasing incidence of multidrug-resistant Escherichia coli, especially extended-spectrum beta-lactamase-producing E. coli and fluoroquinolone-resistant pathogens, has been reported. These resistant species frequently colonize the rectal flora and gain access to the systemic circulation via the rectal plexus following a prostate biopsy. The bacteria can eventually lead to life-threatening complications, which is especially important in high-risk patients with multiple co-morbidities. Previously published studies have focused on the isolation of these pathogens with selective media before an invasive procedure and the potential benefits of incorporating the use of selective media as a mandatory pre-operative step. This preventive measure will allow us to offer a tailored prophylactic treatment that benefits patients and reduces the economic burden for the hospital.
Keyphrases
- escherichia coli
- end stage renal disease
- multidrug resistant
- newly diagnosed
- prostate cancer
- gram negative
- ejection fraction
- chronic kidney disease
- risk factors
- minimally invasive
- systematic review
- ultrasound guided
- randomized controlled trial
- mental health
- type diabetes
- emergency department
- patient reported
- cystic fibrosis
- patient reported outcomes
- risk assessment
- metabolic syndrome
- intensive care unit
- staphylococcus aureus
- acute care
- smoking cessation
- weight loss
- skeletal muscle
- biofilm formation
- human health
- acinetobacter baumannii