{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T17:44:20Z","timestamp":1777571060205,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2017,9,20]],"date-time":"2017-09-20T00:00:00Z","timestamp":1505865600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate the prevalence of fluoroquinolone\u2010insusceptible and\/or extended\u2010spectrum beta\u2010lactamase\u2010producing <jats:italic>Escherichia coli<\/jats:italic> colonizing in the male rectum before transrectal prostate biopsy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We carried out a prospective cohort study of men undergoing transrectal prostate biopsy. CHROMagar Orientation originally supplemented with levofloxacin and CHROMagar Orientation\/extended\u2010spectrum beta\u2010lactamase were used for detecting fluoroquinolone\u2010insusceptible and extended\u2010spectrum beta\u2010lactamase\u2010producing <jats:italic>Escherichia coli<\/jats:italic>. Rectal specimens were collected before prostate biopsy, and the results of cultures in the selective medium were compared with drug susceptibility measured by standard methods. Targeted prophylactic antimicrobials were administered to patients with drug\u2010resistant <jats:italic>Escherichia coli<\/jats:italic> and the incidence of postoperative prostatitis was investigated. In the case of prostatitis, pathogens preoperatively isolated from the rectum and those from urine were compared using pulsed\u2010field gel electrophoresis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Rectal colonization of fluoroquinolone\u2010insusceptible or extended\u2010spectrum beta\u2010lactamase\u2010producing <jats:italic>Escherichia coli<\/jats:italic> was detected in 217 of 694 (31.3%) and 85 of 640 (13.3%) participants, respectively. The sensitivity and specificity of fluoroquinolone\u2010insusceptible selective media were 96.8% and 88.2%, respectively. A total of 618 participants underwent transrectal prostate biopsy, and postoperative acute prostatitis was observed in four of 618 (0.6%) participants. <jats:italic>Escherichia coli<\/jats:italic> strains isolated preoperatively from the rectum and postoperatively from urine were found to be identical.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present findings showed accuracy and performance of the selective media. Screening cultures before transrectal prostate biopsy using selective media seems to be helpful for guiding antibiotic prophylaxis and thus decreasing the rate of post\u2010biopsy acute prostatitis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.13447","type":"journal-article","created":{"date-parts":[[2017,9,20]],"date-time":"2017-09-20T06:26:42Z","timestamp":1505888802000},"page":"842-847","source":"Crossref","is-referenced-by-count":16,"title":["Impact of selective media for detecting fluoroquinolone\u2010insusceptible\/extended\u2010spectrum beta\u2010lactamase\u2010producing <i>Escherichia coli<\/i> before transrectal prostate biopsy"],"prefix":"10.1111","volume":"24","author":[{"given":"Takuya","family":"Sadahira","sequence":"first","affiliation":[{"name":"Department of Urology Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan"},{"name":"Okayama Urological Research Group Okayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichiro","family":"Wada","sequence":"additional","affiliation":[{"name":"Department of Urology Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan"},{"name":"Okayama Urological Research Group Okayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motoo","family":"Araki","sequence":"additional","affiliation":[{"name":"Department of Urology Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan"},{"name":"Okayama Urological Research Group Okayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayano","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Urology Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan"},{"name":"Okayama Urological Research Group Okayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toyohiko","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Urology Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan"},{"name":"Okayama Urological Research Group Okayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshitsugu","family":"Nasu","sequence":"additional","affiliation":[{"name":"Okayama Urological Research Group Okayama Japan"},{"name":"Department of Urology Okayama Rosai Hospital Okayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaya","family":"Tsugawa","sequence":"additional","affiliation":[{"name":"Okayama Urological Research Group Okayama Japan"},{"name":"Department of Urology Okayama City General Medical Center Okayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadasu","family":"Takenaka","sequence":"additional","affiliation":[{"name":"Okayama Urological Research Group Okayama Japan"},{"name":"Department of Urology Japanese Red Cross Okayama Hospital Okayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasutomo","family":"Nasu","sequence":"additional","affiliation":[{"name":"Department of Urology Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan"},{"name":"Okayama Urological Research Group Okayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromi","family":"Kumon","sequence":"additional","affiliation":[{"name":"Department of Urology Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan"},{"name":"Okayama Urological Research Group Okayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.06.057"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.11.088"},{"key":"e_1_2_8_4_1","first-page":"1379","volume-title":"J. Urol","author":"Wolf JS"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13402"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2015.07.008"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2008.12.067"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2008.12.078"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.10.071"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09294.x"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2011.09.057"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.36.4.990-994.1998"},{"key":"e_1_2_8_13_1","doi-asserted-by":"crossref","first-page":"4586","DOI":"10.1128\/JCM.38.12.4586-4592.2000","article-title":"Cost\u2010effective and rapid presumptive identification of gram\u2010negative bacilli in routine urine, pus, and stool culture: evaluation of the use of CHROMagar orientation medium in conjunction with simple biochemical test","volume":"38","author":"Ohkusu K","year":"2000","journal-title":"J. Clin. Microbiol."},{"key":"e_1_2_8_14_1","volume-title":"Performance Standards for Antimicrobial Susceptibility Testing: 24th Informational Supplement, CLSI Document M100\u2013S24","author":"Clinical and Laboratory Standards Institute","year":"2014"},{"key":"e_1_2_8_15_1","volume-title":"Performance Standards for Antimicrobial Susceptibility; 22nd Informational Supplement; CLSI Document M100\u2010S22","author":"Clinical and Laboratory Standards Institute","year":"2012"},{"key":"e_1_2_8_16_1","first-page":"89","article-title":"Molecular epidemiology and clinical implications of metallo\u2010beta\u2010lactamase\u2010producing Pseudomonas aeruginosa isolated from urine","volume":"68","author":"Sako S","year":"2014","journal-title":"Acta Med. Okayama"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.33.9.2233-2239.1995"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.01885-10"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.49.2.798-800.2005"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiac.2016.04.004"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.46.6.1800-1804.2002"},{"key":"e_1_2_8_22_1","first-page":"263","article-title":"Experimental and clinical studies on fluoroquinolone\u2010insusceptible Escherichia coli isolated from patients with urinary tract infections from 1994 to 2007","volume":"63","author":"Wada K","year":"2009","journal-title":"Acta Med. Okayama"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.13161"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cit503"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1472-765X.2010.02945.x"}],"container-title":["International Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fiju.13447","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iju.13447","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T16:19:45Z","timestamp":1696004385000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iju.13447"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,20]]},"references-count":24,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1111\/iju.13447"],"URL":"https:\/\/doi.org\/10.1111\/iju.13447","archive":["Portico"],"relation":{},"ISSN":["0919-8172","1442-2042"],"issn-type":[{"value":"0919-8172","type":"print"},{"value":"1442-2042","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,20]]}}}