Re: UA results

From: DoctorJoe@aol.com
Thu Jun 8 10:28:42 2006


In a message dated 6/8/06 3:55:09 AM, Darryl.elrod@LAKENHEATH.AF.MIL writes:

>
> This urine culture showed up on a 24 wk G3P1102 with a history of
> pyelonephritis and who was already on prophylactic macrodantin.  At the time this was
> taken, she was seen in L&D for contractions.  Her cervical length was 3.8 cm
> with a closed internal os.
>  
> Based on the multiple drug resistances, what would you place her on for
> treatment?
>  
> Organism:  (1) ESCHERICHIA COLI. . . . . . . . .quantity: >100,000 CFU/ML
>   
>                                (1)
>                             Mcg/ml Interp
>             CEFAZOLIN                   >2
> R                                   
> +          CEFTRIAXONE             <=8 S             
> CEFUROXIME-SODIU       >2 R                                   
>             CIPROFLOXACIN            <=0.5
> S                                   
>             GENTAMICIN                  1
> S                                   
>              TETRACYCLINE            <=1 S       
>                             
>              TRIMETH/SULFA           >20
> R                                   
>              NITROFURANTOIN           64
> I                                   
>             AMOXICILLIN/CA           16
> I                                   
>             AMPICILLIN-GRAM        >2
> R                                   
>             LEVOFLOXACIN            <=1 S       
>

Looks like Claforan is a choice, tho' that's IV or IM. What about Ceftin? Do they test for that or consider it equivalent in your hospital?

Joe P.





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Sat Aug 2 04:50:12 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.