Does Leaving the Biopsy Needle in Povidone-Iodine Solution Reduce Infective Complications after Biopsy?

IF 1.8 Q3 UROLOGY & NEPHROLOGY
Erdal Benli, A. Çırakoğlu, Ercan Ogreden, Y. Çetinkol, M. Çalgın, A. Ayyıldız, A. Yüce
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引用次数: 9

Abstract

Aim. The aim of this study is to evaluate whether leaving the biopsy needle used during prostate needle biopsy in 10% povidone-iodine (betadine) solution affects the infectious complications forming after biopsy. Material and Method. This study retrospectively evaluated the data of 176 patients with prostate biopsy performed between December 2012 and April 2014. Patients in Group 1 (n = 89) were given ofloxacin as a prophylactic antibiotic before biopsy. Patients in Group 2 (n = 87) had the biopsy needle left in povidone-iodine solution for 1 minute before each use, in addition to antibiotic prophylaxis. The two groups were compared in terms of infective complications developing after biopsy. Results were analyzed using the Mann–Whitney U test and Fisher's exact test. Results. The distribution of infective complications after biopsy according to group was as follows. Group 1, not using betadine, had 15.7% fever, 13.5% hospital stay, 12.4% urinary retention, 10.1% prostatitis, and 5.6% sepsis. The distribution of the same complications in Group 2 using betadine was identified as 5.7% fever, 4.6% hospital stay, 3.4% urinary retention, 2.3% prostatitis, and 0% sepsis. The use of betadine was found to significantly reduce the infectious complications after biopsy compared to the control group (p < 0.05). Conclusion. At the end of this study leaving the prostate needle in povidone-iodine solution before each use during prostate biopsy was found to reduce the infective complications and hospital stay after biopsy.
将活检针留在聚维酮碘溶液中是否能减少活检后的感染并发症?
的目标。本研究的目的是评估前列腺穿刺活检时使用的活检针留在10%聚维酮碘(倍他定)溶液中是否会影响活检后形成的感染性并发症。材料和方法。本研究回顾性评估了2012年12月至2014年4月期间176例前列腺活检患者的数据。第一组患者(89例)在活检前给予氧氟沙星作为预防性抗生素。2组患者(n = 87)除抗生素预防外,每次使用前将活检针留在聚维酮碘溶液中1分钟。比较两组活检后发生的感染并发症。使用Mann-Whitney U检验和Fisher精确检验对结果进行分析。结果。各组活检后感染并发症分布如下:1组未使用倍他定,发热15.7%,住院13.5%,尿潴留12.4%,前列腺炎10.1%,败血症5.6%。使用倍他定组2相同并发症的分布为5.7%发热,4.6%住院,3.4%尿潴留,2.3%前列腺炎,0%脓毒症。与对照组相比,使用倍他定可显著减少活检后感染并发症(p < 0.05)。结论。在本研究结束时,发现前列腺活检期间每次使用前将前列腺针留在聚维酮碘溶液中可减少感染并发症和活检后的住院时间。
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来源期刊
Advances in Urology
Advances in Urology UROLOGY & NEPHROLOGY-
CiteScore
2.90
自引率
0.00%
发文量
17
审稿时长
15 weeks
期刊介绍: Advances in Urology is a peer-reviewed, open access journal that publishes state-of-the-art reviews and original research papers of wide interest in all fields of urology. The journal strives to provide publication of important manuscripts to the widest possible audience worldwide, without the constraints of expensive, hard-to-access, traditional bound journals. Advances in Urology is designed to improve publication access of both well-established urologic scientists and less well-established writers, by allowing interested scientists worldwide to participate fully.
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