Could you describe your experience with sepsis?

Could you describe your experience with sepsis?

Patient Carlos Orrillo Transcript

Title: Could you describe your hospitalization with sepsis after your biopsy?

A couple hours after the biopsy when I got home I became sick… I couldn’t…I was like I had drunk a thousand beers or something like that… so I couldn’t stand up…. So my wife was home already from work at that time and I was getting worse… and she felt that I had fever…and she said you know what..we’ve got to call the paramedics… and see what happened… well it ended up that I don’t even remember when the paramedics got there… I fainted… and when I woke up I was already in the hospital… in emergency room … and a little bit later the nurse came and says you have a blood infection…and did you have any medical procedure… yeh…I said yeh… I had a biopsy… and they asked me a lot of questions and they said that’s probably it where you got the infection… so we’re gonna take more blood out of you…we’re going to find out what kind of antibiotics you need to stop the infection… that was the doctor talking… well I was admitted to the hospital and the following two days …the following two days that I was hospitalized… they still had not found what kind of blood infection I had because my fever was still was 103 to 104 … 103 to 104…and my arm was basically purple… so many days, so much blood that they took out because they were trying to find the proper antibiotic…] finally they did find it… and that was the fourth day… I stayed one more day for the doctor’s order and after five days in the hospital I went home… no fever anymore… they gave me a bunch of antibiotics…

Closing Title: Sepsis occurs from 0.1% to 2.2% following a TRUS biopsy

Patient Carlos Orrillo describes the ordeal of his infection with sepsis following his initial TRUS biopsy.
Carlos Orrillo
Active Surveillance Patient

A Johns Hopkins study in 2011 reported that 6.9% of men over 65 are hospitalized for sepsis and a variety of other complication within 30 days of a biopsy. The risk for infection increase since with a TRUS biopsy a dozen or so needles enter through the rectum and transfer bacteria from the bowel directly into the prostate, the bladder and the bloodstream.

While the most common complications include infection, bleeding and urinary retention, Carlos’ experience with sepsis is the most severe and can lead to tissue damage, organ failure and death.

More attention is being paid to this problem, caused, in part, by bacteria that are drug resistant. In 2012 the American Urological Association, Inc., issued a White Paper on the Incidence, Prevention and Treatment of Complications Related to Prostate Needle Biopsy.

(https://www.auanet.org/common/pdf/practices-resources/quality/patient_safety/Prostate-Needle-Biopsy-White-Paper.pdf)

The Moffitt Cancer Center in Tampa, Florida has taken steps to reduce the increasing rate of infection by performing rectal swabs on patients about to have a prostate cancer biopsy. These swabs, taken within the month before the procedure, provide information on what antibiotics are most likely to be effective.

Prior to having a biopsy it’s prudent to have a discussion with your physician to ensure that all of the cautionary steps are being taken to prevent infection.

Video viewed and approved by Carlos Orrillo, August 1, 2015