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Table 3 Detail of treatment failure episodes

From: High fluoroquinolone MIC is associated with fluoroquinolone treatment failure in urinary tract infections caused by fluoroquinolone susceptible Escherichia coli

Findings

High MIC group

Low MIC group

Patient-1

Patient-2

Patient-3

Patient-4

Type of UTIs

Acute pyelonephritis

Cystitis

Cystitis

Cystitis

First antibiotic prescription

Levofloxacin 500 mg IV once daily for 4 days

Ciprofloxacin 500 mg PO twice per day for 7 days

Ciprofloxacin 500 mg PO twice per day for 5 days

Levofloxacin 500 mg PO once daily for 7 days

Date of documented treatment failure (after the index date)

Day-4

Day-9

Day-12

Day-8

Evidence of treatment failure

Persistent fever on day-4

Levofloxacin was discontinued and IV cefipime was prescribed

Dysuria persisted on day- 9

Ciprofloxacin 500 mg PO bid for 7 days was prescribed on day-9

Dysuria persisted on day-12

Levofloxacin 500 mg PO od for 5 days was prescribed on day-12

Dysuria persisted on day-8

Nitrofurantoin 100 mg PO bid for 7 days was prescribed on day-8

Repeated urine culture

No

No

Yes (on day-12)

Culture: no growth

No