Difference between revisions of "Genitourinary infection"

(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...")
 
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==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)