Comparison of Single and Prolonged Fluoroquinolone Prophylaxis and Risk Factors for Infectious Complications After Transrectal Prostate Biopsy

Abstract:

Background:The ideal prophylaxis duration for transrectal ultrasonography-guided prostate biopsy is incompletely defined. Aims:To compare the infectious complications of transrectal ultrasonography-guided prostate biopsy with and without extended antibiotic prophylaxis. The secondary aim was to evaluate the risk factors for infectious complications. Study Design:Prospective observational study. Methods:Four hundred patients who underwent transrectal ultrasonography-guided prostate biopsy were recruited. Patients orally received either 750 mg ciprofloxacin 60 min before the procedure or 500 mg ciprofloxacin twice a day for a duration of 7 days with the initial dose administered 24 h prior to the procedure. All patients were followed-up for 4 weeks after the transrectal ultrasonography-guided prostate biopsy procedure for infectious complications. Screening of urine was carried out in all patients on the 3rd and 7th day after the procedure. Medical histories of all patients were collected prior to biopsy. Information on medical history include the following: hospitalization, urethral catheterization, or urinary tract infections within the past 12 months; antibiotic use within the last 3 months, prior urinary tract interventions, and previous transrectal ultrasonography-guided prostate biopsy and Charlson comorbidity indexes. Ultrasound-guided biopsy was carried out using General Electric’s 7 MHz transrectal ultrasound device in the left decubitus position. Patients received one of the two ciprofloxacin-based prophylaxis regimens. Subsequent transrectal ultrasonography-guided prostate biopsy to all patients were followed-up for 30 days. Further follow-up of patients was carried out on the second and fourth weeks after transrectal ultrasonography-guided prostate biopsy, and symptoms, such as dysuria, rectal bleeding, fever, hematospermia, hematuria, and pollakiuria, were recorded. Results:Both groups presented similar baseline characteristics and medical history. Infectious complication rates within the 4-week follow-up were similar in both groups (single dose: 3% vs prolonged: 3%) (p>0.05). In both groups, infectious complications significantly increased than that at previous antibiotic usage (single: p=0.028; prolonged: p=0.040). Non-infectious complication ratios showed no significant variation (p>0.05). Conclusion:Pre-operative single dose of 750 mg oral ciprofloxacin compared with 7 days prolonged treatment resulted in similar infectious complication outcomes in patients undergoing transrectal ultrasonography-guided prostate biopsy. The use of antibiotics within the last 3 months increases the risk for post-transrectal ultrasonography-guided prostate biopsy infectious complications.

journal_name

Balkan Med J

journal_title

Balkan medical journal

authors

Kalkanlı A,Gezmiş CT,Özkan A,Çilesiz NC,Yanaral F,Aydın M,Tandoğdu Z

doi

10.4274/balkanmedj.2018.0477

subject

Has Abstract

pub_date

2018-09-21 00:00:00

pages

373-377

issue

5

eissn

2146-3123

issn

2146-3131

journal_volume

35

pub_type

杂志文章
  • Cortisol and Hippocampal Volume as Predictors of Active Suicidal Behavior in Major Depressive Disorder: Case Report.

    abstract:BACKGROUND:Suicide is frequently encountered in patients suffering from major depressive disorder (MDD). Since only a third of treated depressed patients are able to achieve remission, in the last few years, new theories have been proposed to better understand the mechanism of this illness. Our paper analyzes the inter...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2016.150842

    authors: Moica T,Grecu IG,Moica S,Grecu MG,Buicu GE

    更新日期:2016-11-01 00:00:00

  • Resveratrol Protects Sepsis-Induced Oxidative DNA Damage in Liver and Kidney of Rats.

    abstract:BACKGROUND:The increases of free radicals have been proposed to be involved in the pathogenesis of sepsis, which leads to multiple-organ dysfunction syndromes. The uses of antioxidants as a complementary tool in the medical care of oxidative stress-related diseases have attracted attention of researchers. Resveratrol (...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2016.15516

    authors: Aydın S,Şahin TT,Bacanlı M,Taner G,Başaran AA,Aydın M,Başaran N

    更新日期:2016-11-01 00:00:00

  • Favorable Outcome with Close Margins in Patients Undergoing Nipple/Skin Sparing Mastectomy with Immediate Breast Reconstruction: 5-year Follow-up.

    abstract:BACKGROUND:Implant-based breast reconstruction after mastectomy has recently been reported to be the preferred type of surgery among breast-specific surgeons and plastic surgeons. AIMS:To explore the significant clinicopathological factors associated with long-term outcome related to local recurrences of the nipple am...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.4274/balkanmedj.2017.0029

    authors: Özkurt E,Tükenmez M,Güven E,Çelet Özden B,Öner G,Müslümanoğlu M,İğci A,Özmen V,Küçücük S,Cabioğlu N

    更新日期:2018-01-20 00:00:00

  • Several Cytokines and Protein C Levels with the Apache II Scoring System for Evaluation of Patients with Sepsis.

    abstract:OBJECTIVE:We investigated whether determination IL-6, IL-8, IL-1beta and TNF-alpha at baseline, total protein C (PC) levels at time of admission and 48 hours after initiation could complement the Acute Physiology and Chronic Health Evaluation (APACHE) II scoring system to identify patients with sepsis, severe sepsis or...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2011.016

    authors: Kartal ED,Karkaç E,Gülbaş Z,Alpat SN,Erben N,Colak E

    更新日期:2012-06-01 00:00:00

  • Double primary tumors-renal cell carcinoma and duodenal mucinous adenocarcinoma.

    abstract::A 59-year old patient was admited to the Gastroenterology Clinic with the signs of gastrointestinal bleeding. Computerized tomography (CT) and a barium-meal radiography revealed a circumferential nodular wall narrowing and incomplete stricture at the D2 part of the duodenum. CT also showed a poorly demarcated mass in ...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2012.076

    authors: Vuckovic N,Andrejic B,Djolai M,Zivojinov S,Sarcev K,Vuckovic D

    更新日期:2012-12-01 00:00:00

  • General or local anaesthesia in one-day thyroid surgery-does it matter?

    abstract:OBJECTIVE:We aimed to determine the safety and feasibility of general anaesthesia (GA) compared with local anaesthesia + Monitored Anaesthesia Care (LA+MAC) for One-Day Thyroid Surgery (ODTS); to assess patient and operator satisfaction with either of the anesthetic approaches. MATERIAL AND METHODS:We reviewed prospec...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2012.006

    authors: Belitova M,Pandev R,Karadimov D

    更新日期:2012-06-01 00:00:00

  • High-risk Factors of Respiratory Distress Syndrome in Term Neonates: A Retrospective Case-control Study.

    abstract:BACKGROUND:Respiratory distress syndrome (RDS) is a common critical disease in term neonates, but reasons for the occurrence of RDS remains unclear. AIMS:This study aimed to investigate the cause of RDS in full-term neonates by a retrospective case-control study. STUDY DESIGN:Case-control study. METHODS:Among the pa...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2014.8733

    authors: Liu J,Yang N,Liu Y

    更新日期:2014-03-01 00:00:00

  • Contralateral Suppression of Transient Evoked Otoacoustic Emissions in Children with Phonological Disorder.

    abstract:Background:Perception of acoustic details in the speech signal is important for speech sound development. The medial olivocochlear pathway, a part of the auditory efferent system, plays a role in stimulus-related control of the cochlea. One clinical tool to evaluate medial olivocohlear activity, which is thought to imp...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.4274/balkanmedj.galenos.2020.2020.4.168

    authors: Yılmaz Ş,Taş M,Bulut E

    更新日期:2020-12-07 00:00:00

  • Amyopathic Dermatomyositis Associated with Histopathological Findings of Organizing Pneumonia and Pulmonary Vasculitis.

    abstract:BACKGROUND:Clinically, amyopathic dermatomyositis is a clinically distinct subgroup of dermatomyositis characterised by unique dermatological manifestations without muscle involvement. Clinically, amyopathic dermatomyositis is frequently associated with interstitial lung disease, which usually has a rapidly progressive...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.4274/balkanmedj.2016.1061

    authors: Lim JU,Kang HS,Kim YH,Kim TJ

    更新日期:2017-08-04 00:00:00

  • Trends and Causes of Neonatal Mortality in Serbia, 1997-2016

    abstract:Background:Regardless of the notable reduction in infant deaths worldwide over the last 30 years, the proportion of neonatal mortality in total child mortality is increasing. Aims:To perform a trend analysis of neonatal mortality in Serbia. Study Design:Descriptive observational study. Methods:Joinpoint regression w...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.4274/balkanmedj.galenos.2020.2019.5.145

    authors: Lazarević K,Bogdanović D,Stošić L

    更新日期:2020-04-10 00:00:00

  • Primary culture of choroid plexuses from neonate rats containing progenitor cells capable of differentiation.

    abstract:BACKGROUND:The choroid plexuses, which could secrete a number of neurotrophins, have recently been used in transplantation in central nervous system diseases. AIMS:To study the mechanism of nerve regeneration in the central nervous system by grafting choroid plexus tissues. STUDY DESIGN:Animal experimentation. METHO...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2013.8259

    authors: Huang SL,He XJ,Li ZF,Yao L,Yuan GL,Shi W

    更新日期:2013-12-01 00:00:00

  • Prognostic Factors in Patients Undergoing Pulmonary Resection for Sarcomatoid Carcinomas of the Lung.

    abstract:INTRODUCTION:Pulmonary sarcomatoid carcinomas are very rare lung neoplasms, and no consensus exists regarding the optimal treatment. The prognosis of sarcomatoid carcinomas has been reported to be unfavorable compared to non-small-cell lung cancers; however, prognostic factors in patients undergoing surgery for sarcoma...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.4274/balkanmedj.galenos.2020.2020.7.45

    authors: Özkan B,Erdoğdu E,Duman S,Amirov F,Çimenoğlu B,Özlük Y,Kara M,Yılmazbayhan D,Toker A

    更新日期:2020-09-29 00:00:00

  • An Analysis of Cost-Effectiveness of Stents Used in the Treatment of Coronary Artery Disease

    abstract:Background:There is only limited information about the cost-effectiveness of drug-eluting stents compared with bare-metal stents in Turkey. Aims:To evaluate bare-metal and drug-eluting stents used in the treatment of coronary artery disease from the perspective of the reimbursement institution with cost-effectiveness ...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.4274/balkanmedj.galenos.2019.2018.12.28

    authors: Işıkçelik F,Ağırbaş İ,Tulunay Kaya C

    更新日期:2019-08-22 00:00:00

  • Risk Adapted Management of Febrile Neutrepenia and Early Cessation of Empirical Antibiotherapy in Hematopoietic Stem Cell Transplantation Setting.

    abstract:BACKGROUND:Haematopoietic stem cell transplantation is a curative treatment option for many haematological disorders. Infection following haematopoietic stem cell transplantation is one of the major causes of mortality. AIMS:To investigate the outcomes of early cessation of empirical antibiotic treatment per protocol ...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.4274/balkanmedj.2016.0012

    authors: Kaya AH,Tekgündüz E,Duygu F,Koca D,Bekdemir F,Batgi H,Ulu Uncu B,Yiğenoğlu TN,Dal MS,Çakar Kızıl M,Altuntaş F

    更新日期:2017-04-05 00:00:00

  • Giant J (Osborn) Wave due to Bonsai Abuse: Comments on Clinical Practice.

    abstract:BACKGROUND:Osborn wave, typically associated with hypothermia, is currently referred to as one of the J wave syndromes due to its clinical potential to develop lethal cardiac arrhythmia; it may rarely be observed in a non-hypothermic setting such as cannabis abuse. CASE REPORT:In this paper, we presented two young cas...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.4274/balkanmedj.2015.1233

    authors: Yalçın M,Aparcı M,Eroğlu M,Işılak Z,Özmen N

    更新日期:2017-01-01 00:00:00

  • Auditory Hallucinations as Translational Psychiatry: Evidence from Magnetic Resonance Imaging.

    abstract::In this invited review article, I present a translational perspective and overview of our research on auditory hallucinations in schizophrenia at the University of Bergen, Norway, with a focus on the neuronal mechanisms underlying the phenomenology of experiencing "hearing voices". An auditory verbal hallucination (i....

    journal_title:Balkan medical journal

    pub_type: 杂志文章,评审

    doi:10.4274/balkanmedj.2017.1226

    authors: Hugdahl K

    更新日期:2017-12-01 00:00:00

  • Acute Haemodialysis-induced Changes in Tissue Doppler Echocardiography Parameters.

    abstract:BACKGROUND:Tissue Doppler imaging (TDI) is a method that determines the tissue motion and velocity within the myocardium. AIMS:To characterize acute haemodialysis (HD)-induced changes in TDI-derived indices for patients that have end-stage renal disease (ESRD). STUDY DESIGN:Cross sectional study. METHODS:Conventiona...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2014.13170

    authors: Sağ S,Yeşilbursa D,Yıldız A,Dilek K,Sentürk T,Serdar OA,Aydınlar A

    更新日期:2014-09-01 00:00:00

  • Sacral region massage as an alternative to the urinary catheter used to prevent urinary retention after cesarean delivery.

    abstract:OBJECTIVE:The aim of the study was to determine the effect of massage to the sacral region after cesarean delivery instead of employing a urinary catheter for the prevention of urinary retention. STUDY DESIGN:Cross sectional study. MATERIAL AND METHODS:This interventional study population consisted of 60 women who we...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2012.083

    authors: Dal U,Korucu AE,Eroğlu K,Karataş B,Yalçın A

    更新日期:2013-03-01 00:00:00

  • Regional Clinical and Biochemical Differences among Patients with Primary Hyperparathyroidism.

    abstract:BACKGROUND:Environmental habitat may play a role in clinical disparities of primary hyperparathyroidism (pHPT) patients. AIMS:To compare preoperative clinical symptoms and associated conditions and surgical findings in patients with pHPT, living in different geographical regions from the Black Sea, Mediterranean and A...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.4274/balkanmedj.2015.0865

    authors: Makay Ö,Özçınar B,Şimşek T,Arıcı C,Güngör B,Özbaş S,Akça T,Emre AU,Karadeniz Çakmak G,Akçay M,Ünal B,Girgin M,Girgin S,Görgülü S,Sezer A,Karataş A,Özemir İA,Aksakal N,Erel S,Uğurlu MÜ,Filiz Aİ,Atalay C,Uzunköy

    更新日期:2017-01-01 00:00:00

  • L-Cysteine Partially Protects Against Acrylamide-Induced Testicular Toxicity.

    abstract:BACKGROUND:Acrylamide is a widespread substance having many areas of utilization. Besides, it also forms a part of high-temperature processed starchy foods. To date, numerous in vivo and in vitro studies have documented that acrylamide has toxic effects on various organ systems. AIMS:To determine the potential protect...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.4274/balkanmedj.2017.0830

    authors: Kaçar S,Şahintürk V,Can B,Musmul A

    更新日期:2018-04-04 00:00:00

  • Management of Forgotten Ureteral Stents: Relationship Between Indwelling Time and Required Treatment Approaches.

    abstract:BACKGROUND:Double-J stents are widely used in urology practice, and removal of these stents can sometimes be forgotten. AIMS:To investigate whether indwelling time of double-J stent can predict which treatment modality is required for removal of the stent from the body. STUDY DESIGN:A multicentre, retrospective obser...

    journal_title:Balkan medical journal

    pub_type: 杂志文章,多中心研究

    doi:10.4274/balkanmedj.2015.1562

    authors: Polat H,Yücel MÖ,Utangaç MM,Benlioğlu C,Gök A,Çift A,Kalyenci B,Lök U,Gülaçtı U

    更新日期:2017-08-04 00:00:00

  • The Effects of the Adenosine Receptor Antagonists on the Reverse of Cardiovascular Toxic Effects Induced by Citalopram In-Vivo Rat Model of Poisoning.

    abstract:BACKGROUND:Citalopram is a selective serotonin reuptake inhibitor that requires routine cardiac monitoring to prevent a toxic dose. Prolongation of the QT interval has been observed in acute citalopram poisoning. Our previous experimental study showed that citalopram may be lead to QT prolongation by stimulating adenos...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2015.15932

    authors: Büyükdeligöz M,Hocaoğlu N,Oransay K,Tunçok Y,Kalkan Ş

    更新日期:2015-07-01 00:00:00

  • Shrinkage of Nasal Mucosa and Cartilage During Formalin Fixation.

    abstract:BACKGROUND:After resection, specimens are subjected to formalin fixation during histological processing. This procedure can result in tissue shrinkage, with the amount of shrinkage related to tissue composition and tissue type. AIMS:To evaluate the shrinkage of nasal mucosa and cartilage tissue and compare differences...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.4274/balkanmedj.2015.1470

    authors: Kansu L,Aydın E,Akkaya H,Avcı S,Akalın N

    更新日期:2017-09-29 00:00:00

  • Retroauricular Approach for Targeted Cochlear Therapy Experiments in Wistar Albino Rats.

    abstract:BACKGROUND:As the idea of stem cell technology in the treatment of sensorial hearing loss has emerged over the past decades, the need for in vivo models for related experiments has become explicit. One of the most common experimental models for inner ear stem cell delivery experiments is the Wistar albino rat. AIMS:To...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.4274/balkanmedj.2016.0226

    authors: Mülazımoğlu S,Ocak E,Kaygusuz G,Gökcan MK

    更新日期:2017-05-05 00:00:00

  • Neuromuscular Dysfunction in Experimental Sepsis and Glutamine.

    abstract:BACKGROUND:Electrophysiological studies show that critical illness polyneuromyopathy appears in the early stage of sepsis before the manifestation of clinical findings. The metabolic response observed during sepsis causes glutamine to become a relative essential amino acid. AIMS:We aimed to assess the changes in neuro...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2016.140483

    authors: Çankayalı İ,Boyacılar Ö,Demirağ K,Uyar M,Moral AR

    更新日期:2016-05-01 00:00:00

  • Serum Pentraxin 3 and hs-CRP Levels in Children with Severe Pulmonary Hypertension.

    abstract:BACKGROUND:Pulmonary arterial hypertension secondary to untreated left-to-right shunt defects leads to increased pulmonary blood flow, endothelial dysfunction, increased pulmonary vascular resistance, vascular remodelling, neointimal and plexiform lesions. Some recent studies have shown that inflammation has an importa...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2014.13307

    authors: Karakurt C,Başpınar O,Çelik FS,Taşkapan Ç,Şahin AD,Yoloğlu S

    更新日期:2014-09-01 00:00:00

  • Effects of intrathecal carbenoxolone treatment on nociception and analgesia in rat.

    abstract:BACKGROUND:Gap junctions (GJ) are important in pain signalling at the spinal cord level. AIMS:The aim of this investigation was to study the effects of GJ on nociception and the analgesic/hyperalgesic effects of morphine following administration of carbenoxolone as a GJ blocker. Male Wistar rats (200-250 g) were divid...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2014.13099

    authors: Kamalpour M,Fereidoni M,Moghimi A

    更新日期:2014-06-01 00:00:00

  • Matrix Metalloproteinase-9 Level and Gene Polymorphism in Sleep Disordered Breathing Patients with or without Cardiovascular Disorders.

    abstract:OBJECTIVE:Obstructive sleep apnea syndrome (OSAS) is associated with increased cardiovascular morbidity and mortality. We aimed to investigate the matrix metalloproteinase-9 (MMP-9) level and MMP-9 gene polymorphism in sleep apnea patients with or without cardiovascular disease. STUDY DESIGN:Case-control study. MATER...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2012.068

    authors: Yüksel M,Kuzu-Okur H,Velioğlu-Öğünç A,Pelin Z

    更新日期:2013-03-01 00:00:00

  • A Rare Cause of Hemifacial Spasm: Papillary Oncocytic Cystadenoma.

    abstract:BACKGROUND:Hemifacial spasm is a sudden, involuntary and synchronous spasm of the facial muscles. The most frequent cause of this condition is compression of the facial nerves due to vascular pathologies. The most commonly used method of treatment is Botulinum toxin injection. However, the gold standard treatment is su...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2016.150849

    authors: Erol O,Aydın E

    更新日期:2016-09-01 00:00:00

  • Short-Term Outcomes and Mortality of Late Preterm Infants.

    abstract:BACKGROUND:Late preterm infants have increased rates of morbidity and mortality compared to term infants. Determining the risk factors in these infants leads to more comprehensive preventive and treatment strategies. AIMS:Our aim was to analyse the morbidity rates such as respiratory system diseases, infections, conge...

    journal_title:Balkan medical journal

    pub_type: 杂志文章

    doi:10.5152/balkanmedj.2016.16721

    authors: Bulut C,Gürsoy T,Ovalı F

    更新日期:2016-03-01 00:00:00