Ep 61: Treatment of Urinary Tract Infections in Non-Pregnant Women
Practice Bulletin #91 - Published October 2009 (Reaffirmed 2016) 1. E. coli are the most common bug in UTI. 2. Presence at at least 1,000 CFU/mL on culture or presence of leukocyte esterase or nitrite on UA, particularly if bacteria 2+ or greater in a symptomatic patient is pretty much a slam dank for UTI diagnosis 3. 3-day antibiotic course is sufficient for uncomplicated acute cystitis (trimethoprim-sulfamethaxazole is the preferred agent) 4. Treatment of pyelonephritis can be done as outpatient unless patient is very sick, in which hospitalization w/ parenteral antibiotics may be warranted 5. If symptoms persist beyond 7 days of antimicrobial therapy or if clinical condition worsens, further evaluation through repeat cultures and contrast imaging may be warranted.Show Notes Wine pairing: 2018 Cabernet Sauvignon from La Freynelle Theme music by Evan Handyside Logo design by JD Dotson (jddotson1@gmail.com)
