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Table 6 Characteristics of patients with infections post-TRUSP

From: Evaluation of targeted antimicrobial prophylaxis for transrectal ultrasound guided prostate biopsy: a prospective cohort trial

Type of infection

Age, Charlson score

Cipro

Abx prophy

Days to infxn

Positive culture? Culture site

Organism; susceptibilities

Treatment

Hospitalized? If so, LOS

Resolved

Comments

Uncomplicated UTI

65, 1

S

Cipro

1

Yes; Urine

E. coli: S cipro </= 1; R amp, pip, tcn, tmp/smx, gent, tobra

Ceftriaxone; cefuroxime

No; only seen in ED and discharged

Yes

Cipro failure

Uncomplicated UTI

64, 0

R

tmp/smx

2

Yes; Urine

E. coli: R tmp/smx

Ciprofloxacin

No

Yes

Failure of screening or increasing organism resistance

Uncomplicated UTI

62, 5

R

Amikacin

13

Yes; Urine

E. coli: S amikacin; R amp, amp/sul, cipro, tmp/smx, and ESBL

Unknown

No

Yes

Amikacin failure

Uncomplicated UTI

69, 0

S

Cipro

1

No

N/A

No antibiotics

No

Yes

Clinical diagnosis

Uncomplicated UTI

64, 0

S

Cipro

8

Yes; Urine

K. pneumoniae: R amp

Tmp/smx

No

Yes

Cipro failure

Complicated UTI

71, 4

S

Cipro

6

Yes; Urine

P. mirabilis: I cipro 2; R amp, nitro, tmp/smx:

Piperacillin; ceftriaxone; cefixime

No; 1 day of observation

Yes

Failure of screening or increasing organism resistance

Urosepsis

66, 0

S

Cipro

11

No

N/A

Ceftriaxone; cefuroxime

Yes; 2 days

Yes

Clinical diagnosis

Urosepsis

62, 0

R

tmp/smx

6

No

N/A

Piperacillin; meropenem; cefixime

Yes; 5 days

Yes

Clinical diagnosis

Urosepsis

48, 0

S

Cipro

1

Yes;

Urine/blood

E. coli: ESBL plus I nitro, R cipro >4

Vancomycin and meropenem; Tmp/smx

Yes; 3 days

Yes

Failure of screening or increasing organism resistance

  1. Abbreviations: Abx prophy antibiotic prophylaxis, Amp Ampicillin, Amp/sul Ampicillin-Sulbactam, Cipro Ciprofloxacin, E. coli Escherichia coli, ED emergency department, ESBL extended-spectrum beta-lactamases, Gent Gentamicin, I intermediate, Infxn infection, K. pneumoniae Klebsiella pneumoniae, LOS length of stay, Nitro Nitrofurantoin, P. mirabilis Proteus mirabilis, Pip Piperacillin, R resistant, S sensitive, Tcn Tetracycline, Tmp/smx Trimethoprim/Sulfamethoxazole, Tobra Tobramycin, UTI Urinary tract infection