Summary Young lady known DM present with UTI ( recurrent UTI , previous culture was klebsiella that common in immuncompromise & hospital acquired & resist FQ antibiotics 😬) Any case of UTI - simple vs complicated - sepsis ? (Multi organ dysfunction) -important Ix here urine culture , ultrasound -on Rx need control both infection & blood sugar -important to exclude STI -infection treat with antibiotics (type , course, route ) Here 2 wks then review urine culture *additional note about SGLTIx medication that use in DM & Heart disease but important side effects UTI , euglycemic DKA
In case of urosepsis we have to start antibiotics as soon as possible after collecting cultures. We can start as per local epidemiology and bugs which are more common. We can start with PipTaz / cefoperazone salbactam.
@@peppapig934 we must start antibiotics in any case of sepsis as soon as possible empirically. Prior to iv antibiotics we must collect cultures but it should not be delayed to start antibiotics.
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Summary
Young lady known DM present with UTI ( recurrent UTI , previous culture was klebsiella that common in immuncompromise & hospital acquired & resist FQ antibiotics 😬)
Any case of UTI
- simple vs complicated
- sepsis ? (Multi organ dysfunction)
-important Ix here urine culture , ultrasound
-on Rx need control both infection & blood sugar
-important to exclude STI
-infection treat with antibiotics (type , course, route )
Here 2 wks then review urine culture
*additional note about SGLTIx medication that use in DM & Heart disease but important side effects UTI , euglycemic DKA
Throughly thrashed. Thank you Dr Sree.
Thank you so much doctor
What can be given for UTI then practically we can't take urine culture for all first UTI patients
Give nitrofurantoin 100mg bid for 5 to 7 days.
If resistance is suspected give fosfomycin 3g PO stat.
If Persistant go for C/S
For male uncomplicated uti ?
@@prankuryadav1890 same
Thank you doctor 💐
You are the best
very much helpful, 😍 from odisha
Very informative sir🎉
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If a patient has urosepsis, what antibiotic do we give immediately? Or do we wait for culture First before prescribing the antibiotics?
In case of urosepsis we have to start antibiotics as soon as possible after collecting cultures.
We can start as per local epidemiology and bugs which are more common.
We can start with PipTaz / cefoperazone salbactam.
@@drprasansh thank you for your response.
@@peppapig934 we must start antibiotics in any case of sepsis as soon as possible empirically.
Prior to iv antibiotics we must collect cultures but it should not be delayed to start antibiotics.
How can we diagnose UTI in resource limited context where practically there is no access to urine analysis and urine culture?
Clinical features
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Nitrofurantoin .cefuroxine ceftriaxone not working.urine c s not possible.what to give next
Piptaz+amikacin
Which cream for postmenopausal dysuria?
Premarin
@@AETCMEmergencyMedicine
Thanks sir🙏🙏🙏🙏