click below
click below
Normal Size Small Size show me how
Med 3 Antibiotics
| Question | Answer |
|---|---|
| Asymptomatic bacteriuria in non-pregnant patients | benign - if treated --> UTI at a later time with symptoms |
| Asymptomatic bacteriuria in pregnant women | (increased risk of pyelonephritis especially in 2nd semester, low birth weight/preterm delivery), beta-lactams ok, nitrofurantoin for cystitis, avoid tetracyclines, fluoroquinolones, trimethoprim/sulfamethoxazole |
| Uncomplicated cystitis first line | amoxycillin, trimethoprim (3d), nitrofurantoin (>3d) |
| Uncomplicated cystitis second line | co-amoxyclav, cephalosporins e.g. ceftriaxone, fluoroquinolones e.g. ciprofloxacin |
| Pyelonephritis | lab-test based, emprical: co-amoxyclav, ciprofloxacin, severe empirical: IV/IM gentamicin/ceftriaxone |
| Cystitis in men (always considered complicated) | fluoroquinolone 2 weeks |
| Only time we treat asymptomatic cystitis | children and pregnant women |
| Extended-spectrum beta-lactamases confer resistance to | all penicillins and aztreonam |
| Treatment for a strain with extended-spectrum beta-lactamase | lab susceptibility results, combine with beta-lactamase inhibitor e.g. clavulanic acid |