Urinary tract infection after transrectal needle biopsy of the prostate.
After routine cleansing enemas 80 patients were randomized to undergo irrigation of the rectal vault with either povidone-iodine or saline. A transrectal prostatic needle biopsy then was performed. Antimicrobials were not used before biopsy and were only ordered after biopsy if fever developed or a positive urine culture was obtained. Over-all, 41 per cent of the patients had positive urine cultures post-biopsy and 44 per cent had febrile episodes. There was no significant difference between the group receiving the povidone-iodine versus those receiving saline irrigations.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001707:Biopsy, Needle / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011206:Povidone-Iodine; D011467:Prostate / Q000473:pathology*; D012007:Rectum; D012965:Sodium Chloride; D007507:Therapeutic Irrigation; D014552:Urinary Tract Infections / Q000209:etiology* / Q000517:prevention & control
D000900:Anti-Bacterial Agents; D012965:Sodium Chloride; D011206:Povidone-Iodine