Module 9 Part 2 Complicated Urinary Tract Infection Adult

Question 1

How is a mild to moderate complicated UTI treated with oral therapy?

Answer 1

Options include TMP/SMX, Trimethoprim, Nitrofurantoin, Norfloxacin, Ciprofloxacin, or Levofloxacin.

Question 2

What are the first-line treatment choices for severe complicated UTI requiring parenteral therapy?

Answer 2

Ampicillin IV plus Gentamicin IV or Tobramycin IV.

Question 3

When is the use of Cefotaxime, Ceftriaxone, Ciprofloxacin, Levofloxacin, or Piperacillin/Tazobactam recommended for severe UTI?

Answer 3

As first-line options if the condition is severe and requires parenteral therapy.

Question 4

When should you switch from parenteral to oral therapy for complicated UTI?

Answer 4

Consider switching after 72-96 hours or when clinically appropriate.

Question 5

What is the duration of therapy for complicated UTIs, and why is short-course therapy not recommended?

Answer 5

Treat for 7-10 days for lower tract symptoms and 10-14 days for upper tract symptoms or systemic involvement. Short courses (e.g., 3 days) are not recommended.