UTI and gynecologic infections
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22 Terms
normal vaginal flora that cause intrapartum infections
beta streptococci
e coli
mycoplasma
prevotella
antibiotics for intrapartum infections
ampicillin and gentamicin
causative agents of endomyometritis
e coli
beta strep
g vaginalis
prevotella
bacteroides
mycoplasma
ureoplasma
endomyometritis treatment
clindamycin + gentamicin
alternatives: amp/sulb, pip/tazo, cefoxitin
cuff cellulitis treatment
amox/clav 875mg BID
cipro 500 mg BID + metronidazole 500 mg BID
gynecological surgical site infection causative agents
beta strep
e coli
prevotella
g vaginalis
most common cause of vaginal discharge
bacterial vaginosis
cause of bacterial vaginosis
alteration of normal vaginal flora
decline in lactobacillus
g vaginalis predominates
risk factors for BV
douching
smoking
sexual intercourse (early age)
antimicrobial use
AA race
WSW
multiple sex partners
BV treatment
metronidazole 500 mg BID x 7 days
metronidazole 0.75% gel x 5 days
clindamycin 300 mg BID x 7 days
PID causative organisms
polymicrobial
n gonorrheae (gonorrhea)
trachomatis (chlamydia)
peptostreptococcus
prevotella
PID IV treatment
(ceftriaxone 1g q24 + doxycycline 100mg q12 + metronidazole 500mg q12)
(cefotetan 2g q12 + doxycycline 100mg q12)
(cefoxitin 2g q6 + doxycycline 100mg q12)
PID PO or IM treatment
(ceftriaxone 500mg IM + doxycycline 100mg BID x 14 days)
(cefoxitin 2g IM + probenecid 1g once + doxycycline 100mg BID x 14 days)
(cefotaxime or ceftizoxime + doxycycline 100mg BID x 14 days)
uncomplicated UTI etiology
e coli
uncomplicated UTI treatment
nitrofurantoin 100mg PO q12 × 5 days
bactrim DS q12 × 3 days
complicated UTI etiology
e coli
mild-moderate pyelonephritis treatment
bactrim DS q12 × 7-14 days
fluoroquinolone x 7-14 days
3rd gen cephalosporin x 7-14 days
severe pyelonephritis treatment
aminoglycoside + beta lactam
fluoroquinolone ± beta lactam
how long to treat UTI in men
10-14 days
UTI in pregnancy
cephalexin 500mg q6 × 7-14 days
amoxicillin 250mg q8 × 7-14 days
acute prostatitis treatment
aminoglycoside + beta lactam x 4-6 weeks
chronic prostatitis treatment
cipro 500mg q12
levo 500mg daily
bactrim DS q12
all for at least 4-6 weeks