Please use this identifier to cite or link to this item:
Title: Re: Marco Borghesi, Hashim Ahmed, Robert Nam, et al. Complications after systematic, random, and image-guided prostate biopsy.
Authors: Grummet, Jeremy
Moon, Daniel
Other Authors: Pepdjonovic, Lana
Keywords: Complications
MRI-Guided Biopsy
Transrectal Prostate Biopsy
Fluoroquinolone Resistance
UroRenal, Vascular Clinical Institute, Epworth HealthCare, Victoria, Australia
Australian Prostate Cancer Research Centre, Epworth HealthCare, Victoria, Australia.
Issue Date: 2016
Publisher: Elsevier
Citation: Vol.70, 29 Oct. 2016
Abstract: In a recent review, Borghesi et al concluded that sepsis is the most troublesome complication following transrectal prostate biopsy and that its incidence continues to increase due to the ongoing rise of fluoroquinolone resistance. We believe the time is nigh to abandon the transrectal approach. In performing transrectal biopsy, we forsake basic surgical principles of sterility for the convenience of this approach, using antibiotics as a substitute for hygiene. Quinolones are recommended as standard prophylaxis, but are losing their effect. The US Center for Disease Control states that “use of antibiotics is the single most important factor leading to resistance around the world”. The World Health Organization implores us to reduce unnecessary antibiotic usage for fear of creating a postantibiotic era. Proposed preventative solutions to prostate biopsy sepsis involving multidrug or broader spectrum prophylaxis are therefore in direct contravention of these warnings and are irresponsible. Continues.
PubMed URL:
ISSN: 0302-2838
Journal Title: European Urology
Type: Letter
Affiliated Organisations: Department of Urology, Alfred Hospital, Melbourne, Victoria, Australia
Division of Cancer Surgery, University of Melbourne, Peter MacCallum Cancer Centre, Melbourne, Victoria 3000, Australia
Appears in Collections:Cancer Services
Epworth Prostate Centre
UroRenal, Vascular

Files in This Item:
There are no files associated with this item.

Items in Epworth are protected by copyright, with all rights reserved, unless otherwise indicated.