التفاصيل البيبلوغرافية
| العنوان: |
Patterns of infection following transrectal ultrasound‐guided biopsy of the prostate in a regional New South Wales Centre. |
| المؤلفون: |
Grant, Alice1,2 alicegrant47@hotmail.com, Henegan, Jessica1,2, Jones, Arthur1, Ahmadi, Nariman1, Thomas, Robert1, Stanton, Raymond1, Sowter, Steven1 |
| المصدر: |
Australian Journal of Rural Health. Jun2020, Vol. 28 Issue 3, p301-306. 6p. 4 Charts, 1 Graph. |
| مصطلحات موضوعية: |
*ANTI-infective agents, *BIOPSY, *CHI-squared test, *STATISTICAL correlation, *DRUG resistance in microorganisms, *FISHER exact test, *LENGTH of stay in hospitals, *INFECTION, *PROSTATE, *PROSTATE tumors, *TRANSURETHRAL prostatectomy, *RECTUM, *SEPSIS, *T-test (Statistics), *ULTRASONIC imaging, *RETROSPECTIVE studies, *PATIENT readmissions, *DATA analysis software, *DESCRIPTIVE statistics |
| مصطلحات جغرافية: |
NEW South Wales |
| مستخلص: |
Objective: To determine the rates, severity and patterns of resistance in patients presenting with post‐transrectal ultrasound infection in a regional centre in New South Wales, Australia. Design: A single‐centre retrospective review from August 2013 until August 2017. Setting: Murrumbidgee Local Health District, New South Wales. Participants: All patients who underwent transrectal ultrasonography biopsy of the prostate in the public health system. Main outcome measures: Rate of infection and sepsis following biopsy of the prostate requiring readmission to hospital within 30 days from the procedure. Results: A total of 317 men underwent transrectal ultrasound‐guided biopsy of the prostate over the study period. Nineteen (6%) patients presented with clinical signs of post‐transrectal ultrasound infection, of which 18 (5.7%) required readmission for intravenous antibiotics. Median time to readmission was 2 days (0‐7), and the average length of hospital stay was 5 days (1‐15). Three (0.3%) patients required admission to intensive care for inotropic support. Thirteen patients (68%) had positive blood cultures, and all were positive for Escherichia coli. Four of these patients (21%) had extended spectrum beta‐lactamase producing isolates resistant to their preoperative antibiotics. Conclusion: Prostate cancer is common in the elderly community with worse outcomes in regional settings. Infective complications from transrectal ultrasound biopsy were 6% in this regional setting with high rates of multi‐resistant organisms. Awareness of this is important for rural health practitioners who are likely to be exposed to this patient population. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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