What is the proper treatment for an immune suppressed patient (21 year post renal transplant) that for the past seven weeks has been hospitilized X 2 for e coli UTIs resulting in sepsis X 1 now presenting with Morganella in urine culture.  He is on oral Keflex 500 BID and the suggestion is to add Cipro for seven days
Hi and thank you so much for this query. The main arm of treatment is to make sure he keeps away from being exposed to sick persons as he can easily get infected even by very common germs that would otherwise not cause problems in others. His treatment should be guided by what the angiogram sensitivity testing is after germ identification. Ciprofloxacin should be added if the culture results suggest so and not because he is immune suppressed. I hope this helps. I wish you well. Thank you so much for using our services and feel free to ask for more information and clarifications if need be.