Evidence map›Paper›PMID 31183524›Full record

ReviewWorld journal of urology2020

Antibiotic resistance, hospitalizations, and mortality related to prostate biopsy: first report from the Norwegian Patient Registry.

Truls E Bjerklund Johansen, Per-Henrik Zahl, Eduard Baco, Riccardo Bartoletti, Gernot Bonkat, Franck Bruyere, Tommaso Cai, Mete Cek, Ekaterina Kulchavenya, Bela Köves and 5 more

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

  1. The Role of ButirprostMedicina (Kaunas, Lithuania) · 2025
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  9. Review
  10. Landmarks in the evolution of prostate biopsy.Nature reviews. Urology · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Truls E Bjerklund JohansenDepartment of Urology, Oslo University Hospital, Nydalen, Po. Box 4959, 0424, Oslo, Norway. tebj@medisin.uio.no.
Per-Henrik ZahlDomain for Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.
Eduard BacoDepartment of Urology, Oslo University Hospital, Nydalen, Po. Box 4959, 0424, Oslo, Norway.
Riccardo BartolettiDepartment of Urology, University of Pisa, Pisa, Italy.
Gernot BonkatDepartment of Urology, alta uro AG, Basel, Switzerland.
Franck BruyereUrologie, 2 bd Tonnelle, 37044, Tours, France.
Tommaso CaiDepartment of Urology, Santa Chiara Hospital, Trento, Italy.
Mete CekDepartment of Urology, Medical Faculty of Trakya University, Edirne, Turkey.
Ekaterina KulchavenyaUrogenital Department, Novosibirsk Research TB Institute, 630040, Novosibirsk, Russian Federation.
Bela KövesSouth-Pest Teaching Hospital, Budapest, Hungary.
Vladimir MouravievUniversity of Central Florida, Orlando, FL, USA.
Adrian PilatzKlinik und Poliklinik für Urologie, Kinderurologie und Andrologie Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen Justus-Liebig-Universität Gießen, Rudolf-Buchheim-Str. 7, 35392, Giessen, Germany.
Zafer TandogduDepartment of Urology, Oslo University Hospital, Nydalen, Po. Box 4959, 0424, Oslo, Norway.
Peter TenkeSouth-Pest Teaching Hospital, Budapest, Hungary.
Florian M E WagenlehnerKlinik und Poliklinik für Urologie, Kinderurologie und Andrologie Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen Justus-Liebig-Universität Gießen, Rudolf-Buchheim-Str. 7, 35392, Giessen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA 68-year-old man died of cerebral arterial embolism 6 days after transrectal prostate biopsy with a single p.o. dose of trimethoprim sulfamethoxazole (TMP-SMX) as prophylaxis. The case precipitated analysis of local antibiotic resistance and complication rates. MATERIALS AND

methodsData on E. coli resistance from Oslo University Hospital and national data on hospitalizations and mortality after biopsy were retrieved from local microbiology files and the Norwegian Patient Registry (NPR) 2011-2017.

resultsUrine E. coli resistance against TMP-SMX increased from 35% in 2013 to more than 60% in 2015. For ciprofloxacin, the resistance increased from 15% in 2013 to about 45% in 2016. The highest annual E. coli resistance in blood cultures for TMP-SMX and ciprofloxacin was 37% and 28%, respectively. 10% of patients were hospitalized with a diagnosis of infection within the first 60 days after biopsy and there was a relative increase in mortality rate of 261% within the first 30 days. Due to the severity of the figures, the story and the NPR data were published in Norway's leading newspaper and were succeeded by a series of chronicles and commentaries.

conclusionsSeveral critical points of the biopsy procedure were not performed according to current standards. We believe that the patient might have died of septic embolism after biopsy. As a result of the findings and the debate, local practice was changed from transrectal to transperineal prostate biopsies.

Indexed as

Drug Resistance, MicrobialAgedAnti-Bacterial AgentsAntibiotic ProphylaxisBiopsyCiprofloxacinEscherichia coliEscherichia coli InfectionsFatal OutcomeHumansMaleProstateAnti-Bacterial AgentsCiprofloxacinAntibiotic resistanceComplicationsDeathHospitalizationProstate biopsy

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.