Answer the following questions using the Evidence-Based Urgent Care interactive clinical pathway for antibiotics for urinary tract infections in urgent care.
1. According to the pathway, susceptibility to which antibiotic is the primary branch point of the algorithm?
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TMP-SMX (trimethoprim-sulfamethoxazole)
2. What does this imply?
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In populations with susceptibility rates of 80%-100%, TMP-SMX should be your first-line agent for both lower UTI and outpatient upper UTI.
3. What antibiotic choice can be used to treat lower UTI in the setting of a mild penicillin allergy?
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A 5-7 day course of a first- or second-generation cephalosporin
4. In the absence of penicillin allergy, what is the second-line treatment for lower UTI if local susceptibility to TMP-SMP is poor or unknown?
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Nitrofurantoin
5. In the setting of unknown or poor TMP-SMX susceptibility, patients with upper UTI and allergies to which antibiotic(s) should be referred to the hospital for parenteral antibiotics?
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Penicillin and ciprofloxacin
EB Medicine’s Upskill Academy is a customized curriculum for urgent care groups. For more information, contact Dana Stenzel, Account Executive, at 678-336-8466 x120 or Danas@ebmedicine.net
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Last Updated on September 5, 2024
Dr. Lisa Campanella-Coppo is a Board-Certified emergency physician with a background in managing high-acuity urgent care settings and contributing to graduate medical education. She is also a contributing writer for EB Medicine.
