Modification of antimicrobial prophylaxis based on rectal culture results to prevent fluoroquinolone-resistant Escherichia coli infections after prostate biopsy

Infect Control Hosp Epidemiol. 2013 Sep;34(9):973-6. doi: 10.1086/671734. Epub 2013 Jul 29.

Abstract

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 fluoroquinolone-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.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use*
  • Antibiotic Prophylaxis / methods*
  • Biopsy / adverse effects*
  • Biopsy / methods
  • Drug Resistance, Bacterial
  • Escherichia coli Infections / drug therapy
  • Escherichia coli Infections / epidemiology
  • Escherichia coli Infections / prevention & control*
  • Fluoroquinolones / therapeutic use*
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Prostate / microbiology
  • Prostate / pathology*
  • Rectum / microbiology*

Substances

  • Anti-Bacterial Agents
  • Fluoroquinolones