1. Retrospective Study of the Etiology and Risk Factors of Systemic Inflammatory Response Syndrome After Systematic Transrectal Ultrasound-Guided Prostate Biopsy
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Lei H, Dong X, Li L, Huan F, Zhong X, Wu Q, Fang H, Zhang T, Yang X, Zhu J, Li J, and Jiang Z
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systematic transrectal ultrasound guided prostate biopsy ,systemic inflammatory response synthesis ,prostate cancer ,risk factors infection ,pathogens. ,Infectious and parasitic diseases ,RC109-216 - Abstract
Huang Lei,* Xingyou Dong,* Longkun Li,* Feng Huan, Xiao Zhong, Qingjian Wu, He Fang, Teng Zhang, Xinliang Yang, Jingzhen Zhu, Jia Li, Zhao Jiang Department of Urology, Second Affiliated Hospital, Army Military Medical University, Chongqing 400037, People’s Republic of China*These authors contributed equally to this workCorrespondence: Zhao JiangDepartment of Urology, Second Affiliated Hospital, Army Military Medical University, Chongqing 400037, People’s Republic of ChinaTel +86 23 68774624Email urologyzhaoj@sohu.comObjective: To explore the risk factors, pathogenic bacteria distribution and drug resistance of systematic transrectal ultrasound-guided prostate biopsy (TRUS-Bx), 329 cases of TRUS-Bx were collected, retrospectively, in the Second Affiliated Hospital, Army Military Medical University, from April 2017 to October 2019.Methods: A total of 329 cases were all qualified and grouped into the SIRS group (25 cases) and the non-SIRS group (304 cases). Of all the cases, incidence and risk factors of systemic inflammatory response syndrome (SIRS) were analyzed. Urine and blood samples of patients with SIRS after TRUS-Bx were also collected for bacterial culture and drug sensitivity test.Results: Multivariate logistic regression analysis showed that BMI ≥ 25 kg/m2 (OR = 1.66, 95% CI = 1.34– 2.12, P < 0.001), history of diabetes (OR = 5.48, 95% CI = 1.53– 19.68, P = 0.008), urinary infection before operation (OR = 9.19, 95% CI = 2.92– 20.93, P < 0.001) and erythrocyte sedimentation (ESR) ≥ 20 mm/h (OR = 1.04, 95% CI = 1.01– 1.08, P = 0.039) were independent risk factors of SIRS after TURS-PB.Conclusion: The incidence of SIRS and urinary sepsis was 7.59% and 2.13%, respectively, and major pathogens of SIRS after TRUS-Bx were Escherichia coli (58.33%), Klebsiella pneumoniae (12.5%) and Pseudomonas aeruginosa (12.5%). Imipenem, meropenem, tigecycline, piperacillin/tazobactam, teicoplanin, vancomycin, amikacin and cefoperazone/sulbactam had a very strong inhibitory effect to those pathogenic bacteria (sensitivity 85.72%∼ 100%). Levofloxacin, ciprofloxacin, gentamicin, penicillin G, compound neonomine and second-generation cephalosporins showed less but also worked as a good inhibitor to pathogenic bacteria (42.86%∼ 80.95%).Keywords: systematic transrectal ultrasound-guided prostate biopsy, systemic inflammatory response syndrome, prostate cancer, risk factors infection, pathogens
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- 2020