Friday, August 5, 2016

Complicated vs Uncomplicated UTI Management

Complicated: Male or Female w Flank Pain, Stone or WBC Casts/Clumps

treating G pos and neg:

FluoroQs
Zosyn
Penems
4th Gen Cephalosporins: Cefepime
Fosfomycin

For 7-14 days

Uncomplicated: Female otherwise w dysuria, bladder fullness

Nitro
Bactrim
FQ

3-5 days

Get the following

Renal US
ABx
Bio-K
Urine Cx
Blood Cx
Procal
Lactic Acid
CRP

With AMS?  Ammonia, RPR, TSH, Vit B12, Folate, UDS= urine drug screen (cocaine)

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