@article{article_1461761, title={Is Antibiotic Prophylaxis Necessary Before Transrectal Ultrasound-Guided Prostate Biopsies?}, journal={Turkish Medical Journal}, volume={2}, pages={235–238}, year={2008}, author={Turgut, Ahmet Tuncay}, keywords={Prostate biopsy, TRUS, complications, antibiotic prophylaxis}, abstract={To evaluate the necessity of antibiotic prophylaxis and to determine the type of microorganisms detected in blood and urine cultures after transrectal ultrasound (TRUS)-guided prostate biopsies are aimed in this study. The study group included 28 men who had undergone TRUS-guided 8 core systematic prostate biopsy. Patients did not use Fleet enema or any antibiotic prophylaxis before the biopsy procedure. Blood cultures were obtained 5 minutes after the biopsy procedure, whereas urine cultures were obtained after 30 minutes. In order to determine infection rates, results of the blood and urine cultures were evaluated and then oral ciprofloxacin was started just after the cultures. Escherischia coli (E. coli) was identified in the urine cultures of 2 (7%) patients. Pathogenic microorganisms were identified in the blood cultures of a total of 8 (28.6%) patients: E.Coli in 7 (25%) patients; and group B streptococcus in 1 (3.5%) patient. After TRUS-guided transrectal prostate biopsy E. coli, were identified at blood cultures with a high rate. These results show that antibiotic prophylaxis which is effective on E. coli is neccessary before TRUS-guided prostate biopsy.}, number={1}, publisher={Ankara Yıldırım Beyazıt Üniversitesi Yenimahalle Eğitim ve Araştırma Hastanesi}