Algorithm for selective reporting of AST for urine cultures positive for Escherichia coli in adult men
| Resistance profile | Situation 1 | Situation 2 | Situation 3 | Situation 4 |
| FQ S TMP-SMX S and 3GCs S | FQ S TMP-SMX S and 3GCs R | FQ R and/or TMP-SMX R and 3GCs S | FQ R TMP-SMX R and 3GCs R | |
| Antibiotics reported on AST | Ciprofloxacin Levofloxacin Ofloxacin TMP-SMX | Ciprofloxacin Levofloxacin Ofloxacin TMP-SMX Cefotaxime Ceftriaxone | Ciprofloxacin Levofloxacin Ofloxacin TMP-SMX Cefotaxime Ceftriaxone | All antibiotics usually reported on a complete AST |
Complete AST is available at the prescriber’s request.
When a urine culture is positive, only clinical symptoms can differentiate between asymptomatic bacteriuria and a UTI; therefore, an antibiotic treatment is not needed for all positive urine cultures.
For more information regarding national guidelines: https://antibioclic.com.
AMC, nitrofurantoin, fosfomycin, pivmecillinam and cefixime should not be used in male UTIs (lack of diffusion in prostate).
AMX, amoxicillin; AMC, amoxicillin-clavulanate; AST, antibiotic susceptibility test; FQ, fluoroquinolones; I, intermediate; R, resistant; S, susceptible; TMP- SMX, cotrimoxazole; 3CGs, third-generation cephalosporins; UTI, urinary tract infection.