Re: question: uti in postpartum

From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)
Sun Apr 30 15:53:44 2006


At Sun, 30 Apr 2006, Joe wrote: >
>Why treat? May just be cath irritation. I'm sure you have culture
>working. Joe C
>
>Jordan Oland, MD wrote:
>
>> 3d post delivery with uti, most likely catheter associated (pt had
>> retention with epidural and cathx24 hours). Now, with urinary symptoms.
>> Pt is pcn allergic and is breastfeeding.
>> Was considereing using Macrobid as pt and infant at low risk for g6pd.
>> Any thoughts or advice?
>>

If she had a fever temp greater than 38.5 with those symptoms I would treat, Macrodantin , septra , Ciprofloxin or Clidamycin. We dip urine for leukocytes not as good as urineanlysis or Culture, but easy to do while you wait for results.

--
                                 Take care, John




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