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

Nuntra Suwantarat MD, Donald M. Dumford III MD MPH, Rafael Ponce-Terashima MD, Sirisha Kundrapu MD, Trina F. Zabarsky RN, Hui Zhu MD and Curtis J. Donskey MD
Infection Control and Hospital Epidemiology
Vol. 34, No. 9 (September 2013), pp. 973-976
DOI: 10.1086/671734
Stable URL: http://www.jstor.org/stable/10.1086/671734
Page Count: 4
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Modification of Antimicrobial Prophylaxis Based on Rectal Culture Results to Prevent Fluoroquinolone-Resistant Escherichia coli Infections after Prostate Biopsy
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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.

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