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Original – Cáncer de próstata
Profilaxis antibiótica en la biopsia transrectal de próstata
Antibiotic prophylaxis in transrectal prostate biopsy
Daniel Muñoz Vélez
Autor para correspondencia
dr.munoz.velez@gmail.com

Autor para correspondencia.
, Antoni Vicens Vicens, Mariano Ozonas Moragues
Servicio de Urología, Hospital Universitario Son Dureta, Palma de Mallorca, España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">La biopsia transrectal de pr&#243;stata ecodirigida es una t&#233;cnica segura pero no exenta de complicaciones&#59; las m&#225;s graves son las infecciones urinarias y sus consecuencias&#46; La profilaxis antibi&#243;tica pretende reducir esas complicaciones&#59; sin embargo&#44; no existe un protocolo establecido y hay notables diferencias entre los centros que llevan a cabo esta t&#233;cnica&#46; El objetivo del presente trabajo consiste en revisar diferentes aspectos de los protocolos de profilaxis antibi&#243;tica recogidos en la literatura cient&#237;fica&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se revisaron art&#237;culos indexados&#44; publicados en ingl&#233;s o espa&#241;ol&#44; recogidos en bases bibliogr&#225;ficas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En 5 trabajos que compararon la profilaxis con el placebo el porcentaje de bacteriuria y complicaciones infecciosas fue menor en los grupos con profilaxis&#46; El microorganismo causante en la mayor&#237;a de los casos fue <span class="elsevierStyleItalic">Escherichia coli</span>&#46; Los antibi&#243;ticos m&#225;s empleados son las quinolonas por v&#237;a oral&#46; En 3 trabajos que emplearon profilaxis oral o parenteral no hubo diferencias entre ambos grupos&#46; Otros 3 art&#237;culos que compararon la pauta corta y la monodosis no observaron mayor beneficio con la pauta corta&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Administrar profilaxis es m&#225;s ventajoso que no hacerlo&#46; El momento para iniciar la profilaxis depender&#225; de la biodisponibilidad del f&#225;rmaco y de la v&#237;a elegida&#46; El antibi&#243;tico empleado preferiblemente se administrar&#225; por v&#237;a oral&#44; en monodosis o pauta corta&#44; teniendo en cuenta las sensibilidades de los microorganismos prevalentes&#46; Son necesarios m&#225;s estudios para determinar el papel de los enemas en la reducci&#243;n de las complicaciones infecciosas&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">Transrectal ultrasound-guided needle biopsy of the prostate is a safe technique&#44; but it is not complication-free&#44; and its most serious complications are genitourinary infections &#40;GUI&#41; and the conditions they cause&#46; The purpose of antibiotic prophylaxis is to reduce this GUI incidence rate&#46; However&#44; no established guidelines exist and there are significant differences among centres where this procedure is performed&#46; The objective of the present report is to review antibiotic prophylaxis protocols described in the literature&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">We reviewed indexed articles published in English or Spanish and accessible through literature databases&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Five articles comparing antibiotic prophylaxis with a placebo observe lower bacteriuria and infectious complications percentage rates in the group receiving prophylaxis&#46; In most cases&#44; <span class="elsevierStyleItalic">E&#46; coli</span> is the microorganism responsible for infection&#46; Oral quinolones are the most commonly prescribed prophylactic antibiotics&#46; Three studies of oral vs&#46; parenteral prophylaxis found no differences between the two groups&#46; Three other articles comparing short term and single-dose prophylaxis found no differences between the two groups&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Administering prophylactic antibiotics is more advantageous than not doing so&#46; The moment for beginning prophylaxis depends on the antibiotic&#39;s bioavailability and how it is administered&#46; The chosen antibiotic will preferably be administered orally as a single dose or short term course&#44; according to the sensitivities of prevalent microorganisms&#46; More studies are needed to determine what role pre-biopsy enemas play in reducing infectious complications&#46;</p>"
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Información del artículo
ISSN: 02104806
Idioma original: Español
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2016 Octubre 21 20 41
2016 Septiembre 14 1 15
2016 Agosto 11 1 12
2016 Julio 19 8 27
2016 Junio 28 22 50
2016 Mayo 35 17 52
2016 Abril 21 26 47
2016 Marzo 29 25 54
2016 Febrero 27 22 49
2016 Enero 30 21 51
2015 Diciembre 22 20 42
2015 Noviembre 17 16 33
2015 Octubre 30 15 45
2015 Septiembre 22 9 31
2015 Agosto 19 5 24
2015 Julio 22 3 25
2015 Junio 15 2 17
2015 Mayo 13 8 21
2015 Abril 32 12 44
2015 Marzo 26 7 33
2015 Febrero 44 6 50
2015 Enero 38 5 43
2014 Diciembre 68 11 79
2014 Noviembre 38 6 44
2014 Octubre 51 6 57
2014 Septiembre 38 2 40
2014 Agosto 33 5 38
2014 Julio 45 7 52
2014 Junio 60 4 64
2014 Mayo 21 11 32
2014 Abril 23 4 27
2014 Marzo 29 2 31
2014 Febrero 21 5 26
2014 Enero 20 2 22
2013 Diciembre 18 6 24
2013 Noviembre 36 4 40
2013 Octubre 24 2 26
2013 Septiembre 25 7 32
2013 Agosto 23 3 26
2013 Julio 13 2 15
2009 Agosto 1980 0 1980
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es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos