White Paper on the Incidence, Prevention, and Treatment of Complications Related to Prostate Needle Biopsy

In response to a noted increase in the reports of sepsis and infectious complications after prostate biopsies SUNA and the American Urological Association (AUA) collaborated to draft a white paper. An emerging pattern of fluoroquinolone resistant bacteria, lack of evidence-based, standardized regimen for pre-procedural prophylaxis, and a lack of equipment reprocessing guidelines are addressed in this white paper.

Members of the workgroup included Christopher M. Gonzalez, MD, MBA; Timothy Averch, MD; Lee Ann Boyd, MSN, ARNP, CUNP; J. Quentin Clemens, MD, MSCI; Robert Dowling, MD; Howard B. Goldman, MD; Danil V. Makarov, MD, MHS; Vic Senese, RN; and Mary Anne Wasner, BSN, CURN. Among its summary statements, the workgroup noted the following:

  • The AUA Best Practice Statement on prophylaxis for prostate biopsy indicates fluoroquinolones or 1st-, 2nd-, or 3rd-generation cephalosporins are the antimicrobials of choice. Single-dose regimens appear to be as effective as those spanning 1- or 3-days.
  • Steam sterilization is the preferred method for reprocessing reusable, heat-stable medical devices, including prostate biopsy needle guides; however, high-level disinfection is an acceptable alternative.

Download the White Paper

Urologic Nursing Selected to NAHRS List of Nursing Journals

The Nursing and Allied Health Resources Section of the Medical Library Association (NAHRS/MLA) has selected Urologic Nursing to a list of nursing journals developed to assist nurses and librarians who evaluate nursing and interdisciplinary journal titles for library collection development and publishing opportunities. For collection development, the group compared database coverage and full text options for each title. Nursing and interdisciplinary journals were selected for this list based on selection criteria established by the project team. Criteria included:

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