Оптимизация профилактики инфекционных осложнений при биопсии предстательной железы


DOI: https://dx.doi.org/10.18565/urology.2023.6.128-132

Колонтарев К.Б., Строганов Р.В., Пушкарь Д.Ю.

1) Московский урологический центр ГБУЗ ГКБ им. С.П. Боткина ДЗМ, Москва, Россия; 2) кафедра урологии НОИ клинической медицины имени Н. А. Семашко ФГБОУ ВО «Российский университет медицины», Москва, Россия
Рак предстательной железы (РПЖ) – одно из наиболее часто встречающихся злокачественных новообразований у мужчин среднего и пожилого возраста. Трансректальная биопсия простаты под ультразвуковым контролем (ТРБП) является стандартом при диагностике рака предстательной железы, но ассоциирована с высокой частотой инфекционных осложнений.
Представлен обзор литературы по оптимизации профилактики развития инфекционных осложнений при выполнении трансректальной биопсии предстательной железы. Рассмотрены основные факторы риска и основные пути профилактики развития осложнений, включая изучение результатов применения фосфомицина трометамола в качестве предпочтительного препарата антибактериальной профилактики при ТРБП. Фосфомицин отвечает требованиям для эмпирической профилактики при ТПБП, однако необходимо проведение дальнейших клинических исследований.

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Об авторах / Для корреспонденции


А в т о р д л я с в я з и: К. Б. Колонтарев – д.м.н., заместитель руководителя Московского урологического центра ГКБ им. С.П. Боткина, профессор кафедры урологии НОИ клинической медицины имени Н. А. Семашко ФГБОУ ВО «Российский университет медицины», Москва, Россия; e-mail: kb80@yandex.ru


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