Exam 8: Antibiotic Cases Flashcards Preview

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Flashcards in Exam 8: Antibiotic Cases Deck (6)
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1
Q

Woman has a UTI with gram negative rods. What is the likely bug?

A
E. coli (75-95% of community acquired)
Staph saprophyticus (20%, more in younger patients)
2
Q

How do you treat standard, uncomplicated UTI in females?

A

TMP-SMX
Nitrofurantoin
Fosfomycin
All three of these are considered first line therapy

3
Q

What do you do if your patient has UTI in an area with high E. coli resistance to TMP-SMX?

A

Either Nitrofurantoin or Fluoroquinolones (Ciprofolxacin)

4
Q

What do you do if a patient has 3 or more UTIs in one year in an area with lots of TMP-SMX resistant E. coli?

A
Prophylactic antibiotics 
Nitrofurantoin
TMP-SMX
Ciprofloxacin
Not on prophylaxis forever (usually like 6 months)
5
Q

Why aren’t Fluoroquinolones not considered first line drugs for UTIs?

A

Because resistance develops rapidly, so we try to keep them in reserve.

6
Q

Who wouldn’t you want to treat for UTI with TMP-SMX?

A

Pregnant woman (sulfonamide contraindication)