Since I'm diabetic and more susceptible to infection, I asked my URO about
having a rectal swab before biopsy to determine if there were resistant bacteria based on this article:www.ncbi.nlm.nih.gov/pubmed/22386395
His response was:
I know some places are doing rectal swabs to identify bacteria and sensitivities to antibiotics prior to prostate biopsy. I haven't been doing this, but I have started giving a single dose of intramuscular Tobramycin (antibiotic that is very good for bacteria that are found in the GI tract) when you get here for the biopsy. This in combination with the 2 doses of cipro is very good at preventing infections. The current guidelines are just the 2 doses of cipro and even then, my infection rate is probably less than 2%. With the addition of the tobramycin it is probably less than 1% and I haven't had an infection since I have been doing this.
I'm beginning to feel a lot more comfortable.
BPH: DX 2006
PSA: Jan 2005-2.55 Sep 2008-2.37 Sep 11-2.59 Sep 12-3.27 Sep 2013 3.29 Nov 2014 5.33
DRE: Nov 2014 questionable 1cm nodule at R base
BX: Scheduled for Jan 2015