Problem
V.Q., a 20-year old woman with no previous history of UTI, complains of burning on urination, frequent urination of a small amount, and bladder pain. She has no fever or CVA tenderness. A clean-catch midstream urine sample shows Gram-negative rods on Gram stain. A culture and sensitivity test is ordered. Based on these findings, V.Q. is presumed to have a lower UTI.
a) What should be the goals of the treatment plan at this time?
b) What are the recommended treatment options and durations for V.Q.?
L.B. is a 48-year-old female, who presents with a community-acquired UTI. She has experienced a rash with Bactrim and developed acute shortness of breath while taking penicillin.
a) What should be the goals of the treatment plan at this time?
b) What medication would you recommend to treat L.B. ?