Clinical comparison of the efficacy of three different bowel preparation methods on the infectious complications following transrectal ultrasonography‐guided prostate biopsy in nursing practice

Xin‐hong Zhang, Yong Jia, Wei‐hua Guo, Yu‐rong Ma, Jing Yang, Yu Zhang, Si‐chuan Hou and Chang‐cun Zhang

Journal of Clinical Nursing, 2018, vol. 27, issue 13-14, 2583-2589

Abstract: Aims and objectives To assess the effects of three different bowel preparation methods on the incidence of infectious complications in patients who underwent transrectal ultrasonography‐guided prostate biopsy. Background The standard bowel preparation protocol for prostate biopsy has not been established. Design A retrospective study in a single centre. Methods From January 2013–December 2015, the clinical records of 1,130 patients who underwent prostate biopsy were, respectively, reviewed. All the patients received metronidazole prophylaxis before biopsy. The patients were divided into three groups according to the bowel preparation methods: patients in Group A (n = 402) received only soapy enema; patients in Group B (n = 413) received polyethylene glycol; while patients in Group C (n = 315) received polyethylene glycol plus povidone–iodine enema. Infectious complications were classified as fever (>37.5°C), urinary tract infection and sepsis. The postoperative adverse events were also observed. Results The overall postbiopsy infectious complications were observed in 48 (4.25%) patients of all the cases, including 23 (5.72%) cases in Group A, 20 (4.84%) cases in Group B and five patients (1.59%) in Group C. There was significant difference among the groups (p = .018). In detail, these infectious complications included 22 (1.95%) cases of fever and 26 (2.30%) cases of urinary tract infection. No sepsis was observed among the total patients. The incidence of adverse events was 14.43% (58/402) occurred in Group A, 25.91% (107/413) in Group B and 26.67% (84/315) in Group C. The difference was statistically significant. Conclusions Our study confirmed that combined preparation regimens of polyethylene glycol with povidone–iodine enema could significantly reduce the postbiopsy infection rate. Conventional soapy enema is associated with less adverse events. Relevance to clinical practice Findings of this study provide useful evidence‐based information for healthcare professionals. The application of combined preparation regimens of polyethylene glycol with povidone–iodine enema resulted in better improvement in the prevention of postbiopsy infection.

Date: 2018
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://doi.org/10.1111/jocn.13854

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:27:y:2018:i:13-14:p:2583-2589

Access Statistics for this article

More articles in Journal of Clinical Nursing from John Wiley & Sons
Bibliographic data for series maintained by Wiley Content Delivery ().