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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