Antibiotics post-op care urinary tract infection - Forum

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Surgical student

Antibiotics post-op care urinary tract infection - Ärzteforum

Post#1 »

Suppose you have a patient doing well after abdominal surgery, more or less eating, ambulating, talking about going home, then suddenly, their urine output is low, their temp goes to above 102, they feel awful and you find out it is due to a urinary tract infection. Assume no urethral obstruction and catheter for first day post-op only and no voiding problems since.

How many days antibiotics?
3
5
7
10
1 day after fever gone

Would it matter to you whether:
Male or female
Age
Other medical problems
Organism

Would this be more of an Infectious Diseases specialists approach (culture and relatively long term antibiotics because the source is not going to be surgically removed)?


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Surgeon

Re: Antibiotics post-op care urinary tract infection - Ärzteforum

Post#2 »

This patient has UTI introduced by the urinary catheter. Most probably E.Coli or another gram negative.

If she is eating I would start her on oral antibiotics. Why get excited with high fever- high fever is good for the patient- part of his defense mechanisms.

> How many days antibiotics?
> 3
> 5
> 7
> 10
> 1 day after fever gone

3-5 PO at home.


> Would it matter to you whether:
> Male or female

No, as the etiology is this case is the same..in male or female

> Age
Why should it?

> Other medical problems

Artificial valve- perhaps?


> Organism

What do you expect to find- a snake?

The source is removed- I hope the urinary catheter is out.

What do you mean "an Infectious Disease Specialists" ? I suggest that you are and should be the ID specialist on your own patients as you know more about this subject that those morons.

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