title: Variability of transrectal ultrasound-guided prostate biopsy prophylactic measures.
abstract: BACKGROUND
  To assess the variability of pre-prostate biopsy prophylaxis among American urologists.
  
  
  METHODS
  A survey was electronically mailed to 3355 urologists around the country.  Urologists were surveyed on their antibiotic prophylaxis choice, the route and duration of antimicrobial prophylaxis.  Additionally they were questioned about their knowledge of local antimicrobial resistance and if rectal enemas were routinely used.
  
  
  RESULTS
  There were 679 (21%) responses to the survey.  The survey revealed differences in pre-prostate biopsy prophylaxis among urologists.  Ten different classes of antibiotics were used orally, 4 classes intramuscular, 5 classes intravenous, and there was also 14 different duration regimens.
  
  
  CONCLUSIONS
  Despite the initiation of the 2008 American Urological Association Guidelines on this topic, there still is a lack of uniformity in prostate biopsy prophylaxis.
authors.affiliation: The Arthur Smith Institute for Urology, Hofstra North Shore-LIJ School of Medicine, New Hyde Park, New York 11040, USA.
authors.forename: Joel H
authors.initials: JH
authors.lastname: Hillelsohn
authors.forename: Brian
authors.initials: B
authors.lastname: Duty
authors.forename: Michael L
authors.initials: ML
authors.lastname: Blute
authors.forename: Zhamshid
authors.initials: Z
authors.lastname: Okhunov
authors.forename: Mahyar
authors.initials: M
authors.lastname: Kashan
authors.forename: Robert
authors.initials: R
authors.lastname: Moldwin
authors.forename: Richard N
authors.initials: RN
authors.lastname: Ashley
mesh_terms: D000284:Administration, Oral; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D019072:Antibiotic Prophylaxis; D001291:Attitude of Health Personnel; D001707:Biopsy, Needle / Q000009:adverse effects* / Q000379:methods; D003430:Cross-Sectional Studies; D004305:Dose-Response Relationship, Drug; D019538:Health Care Surveys; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D015588:Observer Variation; D010818:Practice Patterns, Physicians'; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D018570:Risk Assessment; D014463:Ultrasonography; D036761:Ultrasound, High-Intensity Focused, Transrectal / Q000009:adverse effects / Q000379:methods; D014481:United States; D014552:Urinary Tract Infections / Q000209:etiology / Q000517:prevention & control*
chemical_list: D000900:Anti-Bacterial Agents