The study is a randomized controlled trial. Subjects are randomly assigned 1:1 to receive either rapid multiplex qPCR (intervention) prior to standard of care prostate biopsy or standard of care (control) prostate biopsy. The subjects will have a rectal culture swab performed prior to the prostate biopsy. One rectal culture swab will be used for rapid multiplex qPCR and the other swab will be sent to microbiology for a standard culture. The subjects randomized to the intervention group will have the qPCR results shared with the physician to determine if additional standard of care antibiotics are needed at time of standard of care prostate biopsy. The subjects randomized to the control group will not have the qPCR results shared with the physician to determine if additional standard of care antibiotics are needed at time of standard of care prostate biopsy. Approximately, 10 days after the prostate biopsy, the research staff will conduct a chart review and/or telephone call to ask about any prostate biopsy infections and complications.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
38
Interventional group: rPCR results will be shared with the clinical provider to determine appropriate standard of care antibiotic treatment at time of standard of care prostate biopsy.
Control group: rPCR results will not be shared with the clinical provider at time of standard of care prostate biopsy. Standard of care antibiotic selection will be up to the discretion of the clinical provider.
South Texas Veterans Health Care
San Antonio, Texas, United States
Results of rapid qPCR to determine standard of care antibiotic prophylaxis for prostate biopsy.
Reduction in dual antibiotic prophylaxis in the intervention vs.usual care groups.
Time frame: Day of prostate biopsy
Determine if rapid qPCR test results in longer patient wait times.
Difference in the amount of time the PCR technique takes compared to the fastest workflow (physician chooses no additional antibiotics).
Time frame: Day of prostate biopsy
Determine if rPCR results and standard rectal culture results are the same.
Comparison of rPCR results to standard rectal culture on Fluoroquinolone infused MacConkey agar.
Time frame: 1 week
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