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Re: Acute pielonephritis in pregnancyFrom: DoctorJoe@aol.comTue Sep 2 23:01:39 2003
In a message dated 9/2/03 10:49:33 PM, rsavaris@hcpa.ufrgs.br writes: << 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)? >> You get VERY HIGH urinary levels of beta-lactam antibiotics after IV administration. This can knock down even resistant organisms. However, if you send them home on the same thing orally, they may relapse. You should probably change them to an oral medication to which the lab testing indicates the bacteria is sensitive. That's the safest plan. Joe P.
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