Lindstedt et al evaluating a protocol for antibiotic prophylaxis prior to core biopsy of the prostate. The authors are from Malmo University Hospital, Lund University Hospital and Lund University in Sweden.
Patient selection: male undergoing ultrasound-guided core biopsy of the prostate
Regimen: One oral dose of ciprofloxacin 750 mg just prior to the procedure or up to 2 hours before..
Contraindications:
(1) hypersensitivity to ciprofloxacin
(2) artificial heart valve
(3) bacteriuria prior to the procedure
Potential risk factors for infection associated with the core biopsies:
If the patient has no risk factors then the risk of infection was about 1%. The presence of a risk factor increased the risk of infection, and major problems can occur in patients with an unrecognized urinary tract infection at the time of the biopsy.
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