Acute pielonephritis in pregnancy

From: Ricardo Savaris (rsavaris@hcpa.ufrgs.br)
Tue Sep 2 22:46:42 2003


Dear all,

i have a question about the manegament of high urinary tract infection during the pregnancy.

We start with ampicilin 1-2 IV qid after the urine specimem was taken. The problem is that few patients got better, despise the UROCULTURE shows a organism resistent to ampicilim. What should i do, send the patient home with ampicilin (500mg qid), or use another antibiotics that cover the bacteria (i.e., nitrofurantoin)?

Or 3rd option, send the patient home with ampicilin, but at the same dosis that she was receiving at the hospital?

Thank you

--
Ricardo Savaris, MD
Porto Alegre - Brasil




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