Editing Urinary Tract Infections (section)

=== Complicated Cystitis in Females ===
* '''Complicated UTIs requires either (5):'''
*# '''Anatomic or functional abnormality of urinary tract (outlet obstruction, stone disease, diverticulum, neurogenic bladder, VUR etc.)'''
*# '''Urinary instrumentation or foreign bodies in the urinary tract (i.e. catheters, stents, nephrostomy tubes)'''
*# '''Systemic disease (renal insufficiency, diabetes, immunodeficiency, organ transplantation)'''
*# '''Pregnancy'''
*# '''Multi–drug resistant bacteria'''
* '''Diagnosis and Evaluation'''
**'''Labs'''
***'''Urine cultures'''
****'''Mandatory to identify the bacteria and its antibiotic susceptibility'''
****Prior cultures should be reviewed and empiric selection of those results
* '''Management'''
** '''Patients who are candidates for outpatient therapy:'''
*** '''Oral ciprofloxacin 500 mg BID x 7 days'''
*** Once daily oral fluoroquinolone (ciprofloxacin 1000 mg ER x 7 days or levofloxacin 750 mg x 5 days)
*** Oral TMP-SMX DS BID x 14 days (not for Enterococcus or Pseudomonas)