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. 2016;18(2):73–89. doi: 10.3909/riu0713

Table 2.

Selected Studies on Procedural Techniques Impacting Infectious Complications Following TRUS-Bx

Study Year Sample Size Methodology Country Standard Prophylaxis Alternative Prophylaxis Outcome Variables
Study Year Size Methodology Country Standard Technique Alternative Technique Outcome Variables
Bennet HY et al51 2016 162,577 Meta-analysis Multinational TRUS-Bx Transperineal prostate biopsy Hospitalization, sepsis
Berger AP et al55 2004 5957 Retrospective Austria 6 or 10 biopsy cores 15 biopsy cores Infectious complications (epididymitis, fever, hospitalization, mortality, prostatitis)
Bruyere F et al38 2015 2718 Prospective France Antibiotics alone Antibiotics plus enema Infectious complications (fever with positive urine culture, LUTS)
Carey and Korman41 2001 448 Retrospective United States Antibiotics alone Antibiotics plus enema Infectious complications (epididymitis, hospitalization, prostatitis, UTI)
Carignan A et al65 2012 5798 Retrospective Canada Antibiotics alone Antibiotics plus enema Infectious complications (not defined)
Grummet JP et al47 2014 245 Prospective Australia No comparator Transperineal prostate biopsy Sepsis
Grummet JP et al47 2014 6609 Systematic review Australia No comparator Transperineal prostate biopsy Sepsis
Hsieh T-Y et al25 2015 263 Retrospective Taiwan 12–16 biopsy cores 10 biopsy cores Infectious complications (chills, fever, macroscopic hematuria with blood clots, severe LUTS)
Hwang EC et al36 2015 814 Retrospective Korea Antibiotics alone Antibiotics plus povidone-iodine disinfection FQ-resistant rectal culture. Infectious complications (fever, bacteremia, prostatitis, UTI, sepsis)

FQ, fluoroquinolone; LUTS, lower urinary tract symptoms; TRUS-Bx, transrectal ultrasound-guided prostate biopsy; UTI, urinary tract infection.