Do you have any other tips or pearls for treating UTI from your experience? Do you treat most complicated UTIs with cefepime from the get go? And what is your approach to altered mental status and a suspicious looking urinalysis? Let me know in the comments below! :)
Dont forget to also treat the symptoms. Bladder spasms and burning with urination can be extremely uncomfortable. Make sure pt gets an analgesic such as phenazopyridine. Also, cranberry supplement tablets helps support the pain and burning and is much easier to take than drinking pure cranberry juice.
Again, another excellent review. Too often, yesterday’s treatment modalities become ingrained, then embedded, then dogma. These reviews help move us into a more contemporary practice of medicine, and help refine the way we take care of patients. Thank you.
There has been an increase with the bacteria Citrobacter Koseri in uti's. Especially with many patients on immune suppressants. How do you recommend treating this particular uti? Do you still advise 3rd generation cephlasporins when the culture shows susceptibility? Also can you highlight on use of IM Rocephin or ceftraxione in an outpatient treatment for citrobacter koseri type bacteria? 3 shots in 3 days for treatment. Thank you love the video!
Thanks for the video! How would you get a UA/UCx from somebody that presents with a chronic Foley. Let's say the chronic Foley has history of hard placement requiring urology to place each time. Would you still remove the foley and get new foley placed to get urine sample of that to send off for testing for suspicions of UTI?
Great question! Yes, unfortunately you still would need to get the Foley changed out and take a fresh sample in order to get an accurate UA/UCx. It always feels bad to give urology a consult like that but truly if there is a strong history of difficult placement and the nurses have already tried and failed, it's just what has to be done!
Do you have any other tips or pearls for treating UTI from your experience? Do you treat most complicated UTIs with cefepime from the get go? And what is your approach to altered mental status and a suspicious looking urinalysis? Let me know in the comments below! :)
In diabetics and older patients for simple cystitis I will typically extend treatment out to 7d
Dont forget to also treat the symptoms. Bladder spasms and burning with urination can be extremely uncomfortable. Make sure pt gets an analgesic such as phenazopyridine. Also, cranberry supplement tablets helps support the pain and burning and is much easier to take than drinking pure cranberry juice.
THANK YOU!!! I’m starting intern year next year- your videos are so easy to follow and to the point! Thanks for putting the time into making these!
Thank you!! You got this!!
As a current med student these videos are super helpful! 🙂
I was so lucky to get cured permanently from HICH RISK HPV by *MR OBALAR* on RUclips..❤❤❤
great high yield coverage, feeling blessed that I have found this channel early in my training
I was so lucky to get cured permanently from HICH RISK HPV by *MR OBALAR* on RUclips..❤❤❤
Again, another excellent review. Too often, yesterday’s treatment modalities become ingrained, then embedded, then dogma. These reviews help move us into a more contemporary practice of medicine, and help refine the way we take care of patients. Thank you.
Very thorough, and easy to understand. I like the whiteboard method. Thank you Dr. Liu!
very helpful, thanks
I was so lucky to get cured permanently from HICH RISK HPV by *MR OBALAR* on RUclips..❤❤❤
Very good
I was so lucky to get cured permanently from HICH RISK HPV by *MR OBALAR* on RUclips..❤❤❤
There has been an increase with the bacteria Citrobacter Koseri in uti's. Especially with many patients on immune suppressants.
How do you recommend treating this particular uti? Do you still advise 3rd generation cephlasporins when the culture shows susceptibility?
Also can you highlight on use of IM Rocephin or ceftraxione in an outpatient treatment for citrobacter koseri type bacteria?
3 shots in 3 days for treatment. Thank you love the video!
Thanks for the video!
How would you get a UA/UCx from somebody that presents with a chronic Foley. Let's say the chronic Foley has history of hard placement requiring urology to place each time. Would you still remove the foley and get new foley placed to get urine sample of that to send off for testing for suspicions of UTI?
Great question! Yes, unfortunately you still would need to get the Foley changed out and take a fresh sample in order to get an accurate UA/UCx. It always feels bad to give urology a consult like that but truly if there is a strong history of difficult placement and the nurses have already tried and failed, it's just what has to be done!
Genius