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Urinary Tract Infection

Mel Herbert, MD MBBS FAAEM and Stuart Swadron, MD, FRCPC
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Crunch Time - Kidneys - Written Summary 354 KB - PDF

Urinary Tract Infection

Mel Herbert MD and Stuart Swadron MD

  • UTI plus fever think upper tract disease (ie pyelonephritis)
  • Most common organisms
    • E. coli, Staph saprophyticus and other gram negatives
  • Treatment (base on local resistance patterns)
    • Uncomplicated
      • Antibiotics for 3-5 days
    • Pyelonephritis
      • Antibiotics for 10 to 14 days
    • Asymptomatic bacteriuria in pregnancy
      • Treat with antibiotics even if asymptomatic
    • Complicated
      • Antibiotic choice and duration depend on the complication!
  • Complicated UTI = all cases except a young, healthy woman without fever (men, foley, single kidney, pregnancy)
  • If sterile pyuria and UTI-like symptoms, consider STD and treat accordingly


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Kidneys Full episode audio for MD edition 59:33 min - 83 MB - M4ACrunch Time - Kidneys - Individual MP3 Files 77 MB - ZIPCrunch Time - Kidneys - Written Summary 354 KB - PDF

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