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; 1Â day of observation | Yes | Failure of screening or increasing organism resistance |
Urosepsis | 66, 0 | S | Cipro | 11 | No | N/A | Ceftriaxone; cefuroxime | Yes; 2Â days | Yes | Clinical diagnosis |
Urosepsis | 62, 0 | R | tmp/smx | 6 | No | N/A | Piperacillin; meropenem; cefixime | Yes; 5Â 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; 3Â days | Yes | Failure of screening or increasing organism resistance |