經直腸攝護腺切片手術之預防性抗生素使用及感染; 台北慈濟醫院的經驗
許竣凱、張尚仁、林佳達、楊緒棣
新店慈濟醫院 外科部 泌尿科; 花蓮慈濟大學
Antimicrobial Prophylaxis and Febrile Complication of Transrectal Prostate Biopsy in Taipei Tzu Chi Hospital
Chun-Kai Hsu, Shang-Jen Chang, Chia-Da Lin and Stephen S. Yang
Division of Urology, Taipei Tzu Chi Hospital, New Taipei, Taiwan and School of Medicine, Buddhist Tzu Chi University, Hualien, Taiwan.
Purpose: To analyze the effects of antimicrobial prophylaxis (AMP) for transrectal ultrasound-guided prostate biopsy (TRUSP BX) in our hospital.
Materials and Methods: We retrospectively reviewed the patients who underwent TRUSPBX from January 2005 to December 2013 in our outpatient department. Based on preoperative AMP, the patients were divided into two groups: single dose 500 mg levofloxacin (Group 1), and more than one dose of antibiotics regardless of medication category (Group 2). Rate and risk factors of prostate biopsy were collected and analyzed.
Results: Totally 686 patients were included for analysis (581 in Group 1, 105 in group 2). In group 1, 4 patient had fever (0.68%) after operation, while there was no patient experienced febrile complication in group 2 (p=0.9). There were no specific risks for febrile UTI of TRUSPBX in our hospital.
Conclusions: Single dose levofloxacin as AMP for TRUSPBX is safe and effective in Taiwan.