Urinary tract infection (UTI) — complicated / pyelonephritis
- Obtain urine culture before therapy if possible
- Choose empiric drug by severity + resistance risk
- Oral FQ/TMP-SMX only if likely susceptible
- Severe illness → IV cephalosporin/broader beta-lactam
- Relieve obstruction/remove catheter when needed
- Narrow promptly when susceptibilities return
- Duration is often shorter than old practice
Use at a glance
- Obtain urine culture before therapy if possible
Practical pearls
- Duration is often shorter than old practice
Choosing treatment
- Oral FQ/TMP-SMX only if likely susceptible
- Severe illness → IV cephalosporin/broader beta-lactam
- Relieve obstruction/remove catheter when needed
Treatment selection
- Choose empiric drug by severity + resistance risk
- Narrow promptly when susceptibilities return
Self-check
- What is used for severe complicated UTI/pyelonephritis?
IV cephalosporin or broader beta-lactam. - When should urine culture be obtained in complicated UTI?
Before therapy, if possible.
Drugs used for this (10)
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