Reference no: EM133597966
Question
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. A clean-catch midstream urine sample shows gram-negative rods on Gram stain. A urine sample for culture and susceptibility (C&S) testing is ordered, and the results of a urinalysis are as follows: Appearance, straw-colored (normal, straw) Specific gravity, 1.015 pH, 8.0 Protein, glucose, ketones, bilirubin, and blood, all negative (normal, all negative) WBC, 10 to 15 cells/LPF (normal, 0-2 cells/LPF)
Red blood cells (RBC), 0 to 1 cells/LPF (normal, 0-2 cells/ LPF) Bacteria, many (normal, 0 to rare) Epithelial cells, 3 to 5 cells/LPF (normal, 0 to few cells/LPF) Based on these findings, patient is presumed to have a lower UTI.
1. What should be the goals of therapy of infection at this time? What factors should be considered before selecting an antibiotic?
2. What antibiotics may be appropriately selected for treatment of infection?