Sandbox-GU-Yaz: Difference between revisions
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:*Women with catheter-acquired bacteruria that persists 48 hours following removal of indwelling catheter (antimicrobial therapy may be considered) | :*Women with catheter-acquired bacteruria that persists 48 hours following removal of indwelling catheter (antimicrobial therapy may be considered) | ||
:*Renal transplant recipients (antimicrobial therapy may be considered but evidence is insufficient) | :*Renal transplant recipients (antimicrobial therapy may be considered but evidence is insufficient) | ||
* | * Treatment of asymptomatic bacteriuria''' is '''<u>not</u>''' '''recommended for the following patient populations | ||
:* Premenopausal, nonpregnant women | :* Premenopausal, nonpregnant women | ||
:* Diabetic women | :* Diabetic women | ||
| Line 41: | Line 41: | ||
:::* Preferred regimen: [[Trimethoprim-Sulfamethoxazole]] DS 1 tab PO bid for 3 days after obtaining urine cultures | :::* Preferred regimen: [[Trimethoprim-Sulfamethoxazole]] DS 1 tab PO bid for 3 days after obtaining urine cultures | ||
:::* Note: Screening for or treatment of asymptomatic bacteriuria prior to transurethral resection of the prostate (TRUS) is recommended | :::* Note: Screening for or treatment of asymptomatic bacteriuria prior to transurethral resection of the prostate (TRUS) is recommended | ||
==Ectoparasitic Infections== | |||
===Pediculosis Pubis=== | |||
* '''Pediculosis Pubis'''<ref name="pmid21160459">{{cite journal| author=Workowski KA, Berman S, Centers for Disease Control and Prevention (CDC)| title=Sexually transmitted diseases treatment guidelines, 2010. | journal=MMWR Recomm Rep | year= 2010 | volume= 59 | issue= RR-12 | pages= 1-110 | pmid=21160459 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21160459 }} </ref> | |||
:* Preferred regimen (1): [[Permethrin]] 1% cream rinse applied to affected areas and washed off after 10 minutes | |||
:* Preferred regimen (2): [[Pyrethrin]] with [[Piperonyl butoxide]] applied to the affected area and washed off after 10 minutes | |||
:*Alternative regimen (1): [[Malathion]] 0.5% lotion applied for 8-12 hours and washed off | |||
:*Alternative regimen (2): [[Ivermectin]] 250 µg/kg PO singled dose and then repeated in 2 weeks | |||
===Scabies=== | |||
* '''Scabies''' <ref name="pmid21160459">{{cite journal| author=Workowski KA, Berman S, Centers for Disease Control and Prevention (CDC)| title=Sexually transmitted diseases treatment guidelines, 2010. | journal=MMWR Recomm Rep | year= 2010 | volume= 59 | issue= RR-12 | pages= 1-110 | pmid=21160459 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21160459 }} </ref> | |||
:* Preferred regimen (1): [[Permethrin]] cream 5% applied to all areas of the body from the neck down and washed off after 8-14 hours | |||
:* Preferred regimen (2): [[Ivermectin]] 250 µg/kg PO singled dose and then repeated in 2 weeks | |||
:* Alternative regimen: [[Lindane]] 1% lotion applied in a thin layer to all areas of the body from the neck down and thoroughly washed off after 8 hours | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 17:52, 4 August 2015
Asymptomatic bacteriuria
- Treatment of asymptomatic bacteriuria is only recommended for the following patient populations
- Pregnant women
- Patients pending urological procedure
- Women with catheter-acquired bacteruria that persists 48 hours following removal of indwelling catheter (antimicrobial therapy may be considered)
- Renal transplant recipients (antimicrobial therapy may be considered but evidence is insufficient)
- Treatment of asymptomatic bacteriuria is not recommended for the following patient populations
- Premenopausal, nonpregnant women
- Diabetic women
- Older persons residing in the community
- Elderly, institutionalized patients
- Individuals with spinal cord injury
- Catheterized patients while the catheter remains in situ
- Note: Pyuria accompanying asymptomatic bacteriuria is not indicated for antibiotic therapy.
- 1. Causative pathogens
- Escherichia coli
- Klebsiella pneumoniae
- Coagulase-negative staphylococci
- Enterococcus
- Group B streptococci
- Gardnerella vaginalis
- Pseudomonas aeruginosa
- Proteus mirabilis
- Providencia stuartii
- Morganella morganii
- 2. Specific considerations
- 2.1 Women, pregnant[3]
- Preferred regimen (1): Nitrofurantoin 100 mg PO bid for 3–5 days (avoid in glucose-6-phosphate dehydrogenase deficiency)
- Preferred regimen (2): Amoxicillin 500 mg PO tid for 3–5 days
- Preferred regimen (3): Amoxicillin-Clavulanate 500 mg PO bid for 3–5 days
- Preferred regimen (4): Cephalexin 500 mg PO tid for 3–5 days
- Preferred regimen (5): Fosfomycin 3 g PO single dose
- Alternative regimen, second/third trimester only: Trimethoprim PO bid for 3–5 days
- Note (1): Pregnant women should be screened for bacteriuria by urine culture at least once in early pregnancy, and they should be treated if the results are positive.
- Note (2): Monthly screening for recurrent bacteriuria should be undertaken following therapy.
- Note (3): IDSA guidelines recommend 3–7 days of antimicrobial therapy.
- 2.2 Urologic interventions[4]
- Preferred regimen: Trimethoprim-Sulfamethoxazole DS 1 tab PO bid for 3 days after obtaining urine cultures
- Note: Screening for or treatment of asymptomatic bacteriuria prior to transurethral resection of the prostate (TRUS) is recommended
Ectoparasitic Infections
Pediculosis Pubis
- Pediculosis Pubis[5]
- Preferred regimen (1): Permethrin 1% cream rinse applied to affected areas and washed off after 10 minutes
- Preferred regimen (2): Pyrethrin with Piperonyl butoxide applied to the affected area and washed off after 10 minutes
- Alternative regimen (1): Malathion 0.5% lotion applied for 8-12 hours and washed off
- Alternative regimen (2): Ivermectin 250 µg/kg PO singled dose and then repeated in 2 weeks
Scabies
- Scabies [5]
- Preferred regimen (1): Permethrin cream 5% applied to all areas of the body from the neck down and washed off after 8-14 hours
- Preferred regimen (2): Ivermectin 250 µg/kg PO singled dose and then repeated in 2 weeks
- Alternative regimen: Lindane 1% lotion applied in a thin layer to all areas of the body from the neck down and thoroughly washed off after 8 hours
References
- ↑ Nicolle, Lindsay E.; Bradley, Suzanne; Colgan, Richard; Rice, James C.; Schaeffer, Anthony; Hooton, Thomas M.; Infectious Diseases Society of America; American Society of Nephrology; American Geriatric Society (2005-03-01). "Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults". Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 40 (5): 643–654. doi:10.1086/427507. ISSN 1537-6591. PMID 15714408.
- ↑ "Guidelines on Urological Infections".
- ↑ "Guidelines on Urological Infections".
- ↑ Gilbert, David (2015). The Sanford guide to antimicrobial therapy. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808843.
- ↑ 5.0 5.1 Workowski KA, Berman S, Centers for Disease Control and Prevention (CDC) (2010). "Sexually transmitted diseases treatment guidelines, 2010". MMWR Recomm Rep. 59 (RR-12): 1–110. PMID 21160459.