Case Discussion || UTI

#aetcm #mbbs

[@dushyanttandale6985]

4400 views and only 210 likes. This is not done, plz do press like button. They are sharing valuable knowledge, do hit the like button its free .🙏

[@user-ww9rt8sl3f]

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

[@pandeeshwarieshwari2399]

Thank you doctor 💐

[@vijayalakshmicmsunderaj595]

Throughly thrashed. Thank you Dr Sree.

[@preethashijy7874]

Thank you so much doctor

[@maluak8520]

Very informative sir🎉

[@dipeshshah7435]

very much helpful, 😍 from odisha

[@drvishalparmar]

❤❤❤

[@aliakbar503]

❤❤❤❤❤

[@AGENT-yb1sj]

What can be given for UTI then practically we can't take urine culture for all first UTI patients

[@Humanoidai20]

Give nitrofurantoin 100mg bid for 5 to 7 days. If resistance is suspected give fosfomycin 3g PO stat. If Persistant go for C/S

[@prankuryadav1890]

For male uncomplicated uti ?

[@Humanoidai20]

@@prankuryadav1890 same

[@mazzinseverino1750]

How can we diagnose UTI in resource limited context where practically there is no access to urine analysis and urine culture?

[@AETCMEmergencyMedicine]

Clinical features

[@shivanijindal3367]

Which cream for postmenopausal dysuria?

[@AETCMEmergencyMedicine]

Premarin

[@shivanijindal3367]

@@AETCMEmergencyMedicine Thanks sir🙏🙏🙏🙏

[@shadabanwar3293]

Nitrofurantoin .cefuroxine ceftriaxone not working.urine c s not possible.what to give next

[@raiskhan2410]

Piptaz+amikacin

[@peppapig934]

If a patient has urosepsis, what antibiotic do we give immediately? Or do we wait for culture First before prescribing the antibiotics?

[@drprasansh]

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]

@@drprasansh thank you for your response.

[@drprasansh]

@@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.