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Nap Kap UTI
NAPLEX
12
Pharmacology
Post-Graduate
07/28/2019

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Cards

Term
UTI: Community aquired Organisms
Definition
1. e. coli
2. staphylococcus saprophyticus
3. klebsiella pneumonea
4. proteus mirabilis
Term
UTI: Noscomial (Hospital) aquired Organisms
Definition
**** All Community Aquired Organisms + *****
1. pseduomonas aeruginosa
2. enterobacter spp
3. candida
Term
Lower UTI symptoms
Definition
dysuria
urgency
frequency
nocturia
supra pubic pain / pressure
Term
Upper UTI symptoms
Definition
****** All lower UTI symptoms + *****
Flank pain
fever
N/V
Term
UTI: diagnosis
Definition
bacteruria > 10² CFU/mL
pyuria > 5-10 WBC/mm³
nitrite positive
leukocyte positive
Casts (upper UTI only)
Term
Complicated v. uncomplicated UTI
Definition
If pt is not young, health, non-pregnant female then likely complicated
Term
Phenazopyridine: brand, use, dose
Definition
brand: AZO, unistat, pyridium
use: UTI pain
dose: 200mg TID X 2D
Term
UTI tx if pregnant?
Definition
Beta lactams preferred
Term
Uncomplicated lower UTI tx?
Definition
1. nitrofurantoin (Macrobid) 100mg BID X 5D
2. TMP/SMX DS (Bactrim) BID X 3D
3. Fosfomycin (Monurol) 3g PO X 1 dose
Term
Uncomplicated upper OUTPATIENT UTI tx?
Definition
1. Cipofloxacin 1g/d X 7D or Levofloxacin 750mg Qday X 5D
2. TMP/SMX DS (Bactrim) BID X 14D
3. Oral Beta lactam X 10-14D + ceftriaxone or gentamycin
****may add ceftriaxone 1g IV X 1 dose OR gentamtcin 5-7mg/kg IV X 1 dose to any regmine***
Term
Uncomplicated upper INPATIENT UTI tx?
Definition
Same treaments as uncomplicated, but carbapenems are also an option
Term
Complicated lower UTI tx?
Definition
Change treatment duration to 10-14D
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