Prophylaxis of bacterial infections following prostate biopsies
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Indication for prostate biopsy Informed consent No exclusion criteria 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 1724 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 1724
Exclusion criteria
Exclusion criteria: Allergy to Fosfomycin or Ciprofloxacin Use of Tizanidine Hemodialysis or severe renal failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To compare the effect between Fosfomycin and Ciprofloxacin when being used as antibiotic prophylaxis for prostate biopsy ; Secondary Objective: Establish the frequency of infektions in high- and low risk patients Investigate if the rectal flora is affected by Fosfomycin or ciprofloxacin Mortality Inpatient Days Risk factors ; Primary end point(s): Submission to inpatient care because of sepsis within two weeks after prostate biopsy ; Timepoint(s) of evaluation of this end point: 14 Days after the biopsy. The endpoint will be evaluated 6 months after the cancellation of the trial | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Prescribed antibiotics for UTI within 30 Days after the biopsy * Submission to hospital, same as thje primary endpoint, but exclusding patients with antibiotic resistance to Fosfomycin or Ciprofloxacin * Analysis of urine Cultures after infections following the biopsy * Inpatient care regardless of cause within 14 Days after the biopsy * Mortality <90 Days * Bacteriological carachteristics on urine cultures * Bacteriological carachtereistics on rectal swabs Before and after the biopsy (4 weeks after) * Number of inpatient Days * Daily doses of antibiotics * Risk factors for infection based on baseline data ; Timepoint(s) of evaluation of this end point: 14 Days to 90 days after the biopsy. These endpoint will be evaluated 6 months after the cancellation of the trial | — |
Countries
Sweden
Contacts
Johan Styrke