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Modification of Antimicrobial Prophylaxis Based on Rectal Culture Results to Prevent Fluoroquinolone-Resistant Escherichia coli Infections after Prostate Biopsy

Published online by Cambridge University Press:  02 January 2015

Nuntra Suwantarat ,
Donald M. Dumford III ,
Rafael Ponce-Terashima ,
Sirisha Kundrapu ,
Trina F. Zabarsky ,
Hui Zhu  and
Curtis J. Donskey
Nuntra Suwantarat
Affiliation:
Department of Medicine, Division of Infectious Diseases and HIV Medicine, University Hospitals of Cleveland, Cleveland, Ohio
Donald M. Dumford III
Affiliation:
Department of Medicine, Division of Infectious Diseases and HIV Medicine, University Hospitals of Cleveland, Cleveland, Ohio
Rafael Ponce-Terashima
Affiliation:
Department of Medicine, Division of Infectious Diseases and HIV Medicine, University Hospitals of Cleveland, Cleveland, Ohio
Sirisha Kundrapu
Affiliation:
Department of Medicine, Division of Infectious Diseases and HIV Medicine, University Hospitals of Cleveland, Cleveland, Ohio
Trina F. Zabarsky
Affiliation:
Infection Control Department, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Hui Zhu
Affiliation:
Surgery Service, Urology Section, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Curtis J. Donskey*
Affiliation:
Infection Control Department, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio Geriatric Research, Education, and Clinical Center, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
*
Geriatric Research, Education, and Clinical Center 1110W, Cleveland Veterans Affairs Medical Center, 10701 East Boulevard, Cleveland, OH 44106 (curtisdl23@yahoo.com)
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Extract

For patients undergoing transrectal ultrasound-guided biopsy of the prostate (TRUBP), use of rectal screening culture results to guide antimicrobial prophylaxis was effective for prevention of fluoro-quinolone-resistant Escherichia coli infections. In practice, elimination of infections after TRUBP required the rectal screening protocol and addition of gentamicin for patients missing prior screening.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 9 , September 2013 , pp. 973 - 976
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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