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CHICAGO -- Avoid empiric ciprofloxacin for uncomplicated urinary tract infections in patients with a history of recent exposure to fluoroquinolones or recurrent urinary tract infections, B. Joseph Guglielmo, Pharm.D., urged at the annual Interscience Conference on Antimicrobial Agents and Chemotherapy.
His retrospective case-control study demonstrated that these patient characteristics constitute powerful risk factors that markedly increase the odds of infection by a ciprofloxacin-resistant isolate of Escherichia coli.
Such patients are best treated empirically with alternative agents.
Among the drugs that are most reliably active against …