I prescribed ciprofloxacin today to a patient who has a background history of bladder TCC and received a neo bladder surgery in USA. He presented with rigor and dysuria. I ended up prescribing him ciprofloxacin which was what he was on in the past when he had an UTI.
Ciprofloxacin belongs to the Quinolone group. It has a broad spectrum of activity against Gram-negative bacteria, gram negative rods (P. Aeruginosa), gram negative cocci, some gram-positive cocci, and intracellular organisms including legionella and various species of mycobacteria. Quinolone have no clinical activity against anaerobic bacteria.
I am thinking that I should have covered him for anaerobic bacteria as well. Hopefully he gets better soon.
End.
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