TY  - EJOU
AU  - Jr., Glenn M. Cannon, 
AU  - Smaldone, Marc C. 
AU  - Paterson, David L. 

TI  - Extended-spectrum beta-lactamase gram-negative sepsis following prostate biopsy: implications for use of fluoroquinolone prophylaxis
T2  - Canadian Journal of Urology

PY  - 2007
VL  - 14
IS  - 4
SN  - 1488-5581

AB  - Extended-spectrum beta-lactamase (ESBL) producing organisms are resistant to penicillins, cephalosporins, aminoglycosides, trimethoprim-sulfamethoxazole, aztreonam, and most fluoroquinolones. We report a case of a 72-year-old man who developed septic shock with an ESBL organism after a transrectal ultrasound (TRUS)-guided prostate biopsy despite having received fluoroquinolone prophylaxis. The patient recovered with intravenous ertapenem. Fluoroquinolone-resistant bacteria are increasing in prevalence. This needs to be recognized when the antibiotic choice for pre-procedure prophylaxis is made.
KW  - prostate
KW  -  biopsy
KW  -  needle
KW  -  beta-lactamases
KW  -  urinary tract infections
KW  -  prevention and control

DO  -