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Heiman.pharm.Urinary

Drugs, common illnesses

QuestionAnswer
UTI: Uncomplicated UTI Healthy individual Trimethoprim/sulfamethozazole (TMP/SMZ) (Bactrim) for 3 days Quinolone for 3 days There is a high resistance rates of e. coli to ampicillin/amoxicillin
UTI: Complicated cystitis or patient who is symptomatic after 4 days of tx MALEs ARE CONSIDERED COMPLICATED UTI's Trimethoprim/sulfamethozazole (TMP/SMZ) (Bactrim) for 7-14 days Quinolone for 7-14 days
UTI: Analgesics Phenazopyridine (pyridium): topical analgesic, turns urine orange. Methylene Blue (Urelle); combo with 4 other agents, turns urine green.
UTI: PREGNANCY Asymptomatic bacteruria may lead to prematurity, low birth weight, and stillbirth.
UTI: PREGNANCY Amoxicillin/clavulanate (Augmentin) for 7 days. Cephalexin (Keflex) for 7 days. Avoid quinolones. Avoid sulfonamides in third trimester. Follow – up urine culture in 1 to 2 weeks.
ACUTE PYELONEPHRITIS Fluid management. May need IV antibiotics. Trimethoprim / sulfamethoxazole for 14 days. Quinolone for 14 days. If Pseudomonas suspected: Ceftazidime (Fortaz)‏ Piperacillin/tazobactam (Zosyn)‏ Aztreonam (Azactam)‏ Imipenem (Primaxin) + aminoglycoside
PROSTATITIS Up to 50% of men develop some form of prostatitis at some time in their lives. IV therapy may be needed in severely ill individuals. TMP/SMZ or quinolone for 4 weeks For chronic prostatitis may need 6 – 12 weeks.
Created by: DianaB
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