Genitourinary infection: Difference between revisions

(Created page with "==Treatment== 1) Post-menopausal --> 7 dy course (Cipro or Nitro) 2) Pregnant --> 7dy course (Nitro or Keflex) 3) Male --> 10dy course (R/O prostatitis, urethritis) 4) Compl...")
 
No edit summary
Line 1: Line 1:
==Treatment==
==Treatment==
 
# Post-menopausal --> 7 dy course (Cipro or Nitro)
 
# Pregnant --> 7dy course (Nitro or Keflex)
1) Post-menopausal --> 7 dy course (Cipro or Nitro)
# Male --> 10dy course (R/O prostatitis, urethritis)
 
# Complicated (risk for subclinical pyelonephritis ~25%)
2) Pregnant --> 7dy course (Nitro or Keflex)
## Structureal urologic abnlty
 
## Neurologic dysfx (elderly)
3) Male --> 10dy course (R/O prostatitis, urethritis)
## Hx of UCI relapse
 
## Prior hx of pyelo
4) Complicated (risk for subclinical pyelonephritis ~25%)
## Frequent UTIs
 
## Sx >7dys
    i. Structureal urologic abnlty
## DM or other immunosuppresed
 
    ii. Neurologic dysfx (elderly)
 
    iii. Hx of UCI relapse
 
    iv. Prior hx of pyelo
 
    v. Frequent UTIs
 
    vi. Sx >7dys
 
    vii. DM or other immunosuppresed


--> increased course vs. admit
--> increased course vs. admit


>3 UTIs/yr = R/O structural abnlty
 
*>3 UTIs/yr = R/O structural abnlty
 
 
Cipro 250mg BID
 
Bactrim DS BID


Nitrofurantoin 100mg BID
#Cipro 250mg BID
 
#Bactrim DS BID
Keflex 250mg QID
#Nitrofurantoin 100mg BID
 
#Keflex 250mg QID


==See Also==
==See Also==
Peds: UTI
Peds: UTI


==Source ==
==Source ==
10/07 DONALDSON (adapted from Tintinalli)
10/07 DONALDSON (adapted from Tintinalli)


[[Category:GU]]
[[Category:GU]]
[[Category:ID]]

Revision as of 13:26, 14 March 2011

Treatment

  1. Post-menopausal --> 7 dy course (Cipro or Nitro)
  2. Pregnant --> 7dy course (Nitro or Keflex)
  3. Male --> 10dy course (R/O prostatitis, urethritis)
  4. Complicated (risk for subclinical pyelonephritis ~25%)
    1. Structureal urologic abnlty
    2. Neurologic dysfx (elderly)
    3. Hx of UCI relapse
    4. Prior hx of pyelo
    5. Frequent UTIs
    6. Sx >7dys
    7. DM or other immunosuppresed

--> increased course vs. admit

>3 UTIs/yr = R/O structural abnlty

  1. Cipro 250mg BID
  2. Bactrim DS BID
  3. Nitrofurantoin 100mg BID
  4. Keflex 250mg QID

See Also

Peds: UTI

Source

10/07 DONALDSON (adapted from Tintinalli)

Retrieved from "https://www.wikem.org/w/index.php?title=Genitourinary_infection&oldid=1512"