Exam 8: Antibiotic Cases Flashcards
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)
