Prophylaxis of bacterial infektions of the prostate following transrectal prostate biopsy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Indication for prostate biopsy Informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 1275 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 1275
Exclusion criteria
Exclusion criteria: • Diabetes Mellitus • Kateter à demeure • Urinary tract infection (past 6 months) • Positive nitritis on urinary dipstick • Allergy for Ciprofloxacin, Trimetoprim/Sulfametoxazol or other agents in the IMP • Liver damage • Use of Tizanidine • Immunosuppression
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigage if Trimetoprim/Sulfametoxazol is non inferior campared to Ciprofloxacin as antibiotic prophylaxis for transrectal prostate biopsy;Secondary Objective: To asses after prostate biopsy: 1, Mortality 2, Bacteriological carachteristisc 3, Time to desease 4, Number of inpatient days 5, The given number of doses of antibiotics if infection occurrs. 6, Riskfactors for infection.;Primary end point(s): • Subscribed urinary tract antibiotics within 2 weeks following prostate biopsy • Submission to inpatient hospital care within 2 weeks after prostate biopsy for urinary tract infektion or sepsis.;Timepoint(s) of evaluation of this end point: 2 weeks after prostete biopsy. The first primary endpoint will be avaluated in an interim analysis every 6 months of the trial. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • Mortalitet (3 mån efter biopsi) • Bakteriologisk karaktäristika på fallens blod- respektive urinodlingar. • Tid till sjukdomsdebut. • Vårdtid på sjukhus. • Antal dygnsdoser antibiotika. • Den exkluderade riskgruppens infektionsfrekvens. • Riskgruppens inbördes riskstratifiering. • Riskfaktorer för infektion, analys av baslinjevariabler.;Timepoint(s) of evaluation of this end point: The secondary end points will be evaluated after the trial is closed for inclusion, approximately 2-3 years after the start of the trial. | — |
Countries
Sweden
Contacts
Johan Styrke