European Association of Urology Position Paper on the Prevention of Infectious Complications Following Prostate Biopsy

Adrian Pilatz; Rajan Veeratterapillay; Konstantinos Dimitropoulos; Muhammad Imran Omar; Benjamin Pradere; Yuhong Yuan; Tommaso Cai; Tunde Mezei; Wout Devlies; Franck Bruyère; Riccardo Bartoletti; Bela Köves; Suzanne Geerlings; Sören Schubert; Jeremy Grummet; Nicolas Mottet; Florian Wagenlehner; Gernot Bonkat

doi:10.1016/j.eururo.2020.10.019

European Association of Urology Position Paper on the Prevention of Infectious Complications Following Prostate Biopsy

Eur Urol. 2021 Jan;79(1):11-15. doi: 10.1016/j.eururo.2020.10.019. Epub 2020 Nov 8.

Authors

Adrian Pilatz¹, Rajan Veeratterapillay², Konstantinos Dimitropoulos³, Muhammad Imran Omar⁴, Benjamin Pradere⁵, Yuhong Yuan⁶, Tommaso Cai⁷, Tunde Mezei⁸, Wout Devlies⁹, Franck Bruyère⁵, Riccardo Bartoletti¹⁰, Bela Köves¹¹, Suzanne Geerlings¹², Sören Schubert¹³, Jeremy Grummet¹⁴, Nicolas Mottet¹⁵, Florian Wagenlehner¹⁶, Gernot Bonkat¹⁷

Affiliations

¹ Department of Urology, Pediatric Urology and Andrology, Justus-Liebig-University Giessen, Giessen, Germany. Electronic address: adrian.pilatz@chiru.med.uni-giessen.de.
² Freeman Hospital, Newcastle Upon Tyne, UK.
³ Department of Urology, Aberdeen Royal Infirmary, Aberdeen, Scotland, UK.
⁴ Guidelines Office, European Association of Urology, Arnhem, The Netherlands.
⁵ Department of Urology, CHRU Bretonneau, Tours, France; Université Francois Rabelais, PRES Centre Val de Loire, Tours, France.
⁶ Department of Medicine, Division of Gastroenterology, McMaster University, Hamilton, Canada.
⁷ Department of Urology, Santa Chiara, Reg. Hospital, Trento, Italy.
⁸ Department of Urology, Telemark Hospital, Skien, Norway.
⁹ Department of Urology, UZ Leuven, Leuven, Belgium.
¹⁰ Department of Translational Research and New Technologies, University of Pisa, Italy.
¹¹ Department of Urology, South-Pest Teaching Hospital, Budapest, Hungary.
¹² Department of Internal Medicine, Amsterdam University Medical Center, The Netherlands.
¹³ Max von Pettenkofer Institute, Faculty of Medicine, LMU Munich, Germany.
¹⁴ Department of Surgery, Alfred Health, Central Clinical School, Monash University, Melbourne, Australia.
¹⁵ Department of Urology, University Jean Monnet St Etienne, Saint-Étienne, France.
¹⁶ Department of Urology, Pediatric Urology and Andrology, Justus-Liebig-University Giessen, Giessen, Germany.
¹⁷ Alta Uro AG, Merian Iselin Klinik, Center of Biomechanics and Calorimetry, University Basel, Basel, Switzerland.

PMID: 33172721
DOI: 10.1016/j.eururo.2020.10.019

Abstract

The transperineal approach is preferred to reduce prostate biopsy (PB)-related infections. Fluoroquinolones are suspended for prophylaxis of PB in the European Union; therefore, alternative antibiotics based on local resistance, or targeted prophylaxis, in conjunction with povidone-iodine rectal preparation are recommended for transrectal PB.

Publication types

Editorial
Practice Guideline
Research Support, Non-U.S. Gov't

MeSH terms

Antibiotic Prophylaxis*
Bacterial Infections / etiology
Bacterial Infections / prevention & control*
Biopsy / adverse effects
Humans
Male
Postoperative Complications / etiology
Postoperative Complications / microbiology*
Postoperative Complications / prevention & control*
Prostate / pathology*