Vele mensen zullen het gevoel wel kennen, ze zitten aan de antibiotica, maar hebben dan een feestje antibiotica kopen Antibiotica zijn medicijnen die alleen op recept te krijgen zijn.
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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.
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.
What should be the goals of the treatment
burning on urination, frequent urination of a small amount, and bladder pain. She has no fever or
The goals of therapy in the treatment of acute
cystitis are to eradicate the infection and prevent
associated complications, while at the same time
minimizing adverse effects and costs associated
stain. A culture and sensitivity test is
ordered. Based on these findings, V.Q. is presumed to have a lower UTI.
Because resistance rates among various pathogens vary considerably among geographic areas, clinicians involved in the management of patients with UTI’s must be familiar with resistance rates within the specific area in which they practice.
What treatment duration options are available for
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.
What treatment duration options are available for
previous history of UTI, complains of burning on urination, frequent urination of a small amount, and
The duration of therapy for UTI’s has been shortened considerably. The traditional 7 to 14 day course of antibiotic therapy now is considered
excessive for most patients with uncomplicated infections.
A 3 day antibiotic treatment regimen is just as effective as a 10 day
regimen in eradicating urinary tract organisms, although this is somewhat antibiotic class-specific.
shows Gram-negative rods on Gram stain. A culture and sensitivity test is
Bactrim, Augmentin, and the fluoroquinolones are recommended as the preferred agents for 3 day treatment regimens.
ordered. Based on these findings, V.Q. is presumed to have a lower UTI.
Nitrofurantoin, sulfoanamides other than Bactrim, and tetracyclines are more appropriately reserved for longer treatment failure following regimens of shorter duration.
The choice of a specific agent should be based on geographic sensitivities as well as patient allergies and the relative cost of the agents.
What should be the goals of the treatment
Bactrim and developed acute shortness of breath while taking penicillin.
What should be the goals of the treatment
UTI. She has experienced a rash with Bactrim and developed acute
Although the fluoroquinolones are as effective as Bactrim in the treatment of uncomplicated UTI’s, they are not recommended as first-line therapy
as they are very expensive and probably no more effective than
There are also concerns regarding the overuse of fluoroquinolones and the promotion of medication resistance among community-acquired pathogens. In this case, a fluoroquinolone is appropriate for L.B. because it will be effective and because she has experienced previous adverse reactions to penicillins and sulfas. The duration of fluoroquinolone therapy in L.B. should be three days.
It is imperative that the clinician question L.B. about other medications (both prescription and non-prescription).
Products containing magnesium, calcium, zinc, aluminum and iron significantly decrease the absorption of fluoroquinolones, and this may result in therapeutic failures.
Although the administration of these medicines can be timed to avoid the interaction, this may be inconvenient for the patient. Patients should simply avoid these products while taking fluoroquinolones
Bacterial Vaginosis
S.D. is a 19 yr old, sexually active female with a one week history of a moderate vaginal discharge that has a “fishy” odor, most notable after intercourse. She has no complaints of vaginal pruritus or burning. On examination, the discharge appears gray, homogeneous, and is notably malodorous. A diagnosis of bacterial vaginosis is made. Bacterial Vaginosis
What is the appropriate treatment for bacterial vaginosis?
S.D. is a 19 yr old, sexually active female
with a one week history of a moderate vaginal discharge that has a “fishy” odor, most notable after intercourse. She has no complaints of vaginal pruritus or burning. On examination, the discharge appears gray, homogeneous, and is notably malodorous. A diagnosis of bacterial vaginosis is made. Bacterial Vaginosis
What is the appropriate treatment for bacterial vaginosis?
S.D. is a 19 yr old, sexually active female with a one week history of a moderate vaginal discharge that has a “fishy” odor, most notable after intercourse. She has no
Metronidazole 500mg bid for 7 days is the most
complaints of vaginal pruritus or burning.
On examination, the discharge appears gray, homogeneous, and is notably
85% of women remain well six weeks after
Clindamycin cream 2% at bedtime for seven days or Metronidazole 0.75% gel bid for 5 days are topical recommendations
Alternatively, the CDC recommends Metronidazole 2g orally in a single dose
Bacterial Vaginosis
What patient instructions should be explained when dispensing clindamycin cream?
S.D. is a 19 yr old, sexually active female
with a one week history of a moderate vaginal discharge that has a “fishy” odor, most notable after intercourse. She has no complaints of vaginal pruritus or burning. On examination, the discharge appears gray, homogeneous, and is notably malodorous. A diagnosis of bacterial vaginosis is made. Bacterial Vaginosis
What patient instructions should be explained when dispensing clindamycin cream?
S.D. is a 19 yr old, sexually active female with a one week history of a moderate vaginal discharge that has a “fishy” odor, most notable after intercourse. She has no
Clindamycin cream is oil-based and may weaken
complaints of vaginal pruritus or burning.
On examination, the discharge appears gray, homogeneous, and is notably malodorous. A diagnosis of bacterial vaginosis is made. Genital Herpes
B.J., a 28 yr old, sexually active male, complains of painful penile lesions and tender inguinal adenopathy. The lesions are vesicular and limited to the scrotum and shaft of the penis. The onset of the lesions was preceded by a one week period of fever, malaise, headache, and itching. Viral cultures of the lesions were positive for herpes simplex virus. Genital Herpes
B.J., a 28 yr old, sexually active male,
complains of painful penile lesions and tender inguinal adenopathy. The lesions are vesicular and limited to the scrotum and shaft of the penis. The onset of the lesions was preceded by a one week period of fever, malaise, headache, and itching. Viral cultures of the lesions were positive for herpes simplex virus. Genital Herpes
B.J., a 28 yr old, sexually active male, complains of painful penile lesions and tender inguinal adenopathy. The lesions are vesicular and limited to the scrotum and
Advise client to abstain from sexual contact
shaft of the penis. The onset of the lesions
Advise client to use latex condoms during
fever, malaise, headache, and itching. Viral
asymptomatic periods to avoid transmission
cultures of the lesions were positive for
Prescribe acyclovir 400mg po tid for 7-10 days
Prescribe acyclovir 400mg po tid for 5 days for recurrent episodes
Prescribe acyclovir 400mg po bid for daily suppressive therapy
What adverse effects secondary to acyclovir,
Genital Herpes
famciclovir or valacyclovir should be anticipated?
B.J., a 28 yr old, sexually active male,
complains of painful penile lesions and tender inguinal adenopathy. The lesions are vesicular and limited to the scrotum and shaft of the penis. The onset of the lesions was preceded by a one week period of fever, malaise, headache, and itching. Viral cultures of the lesions were positive for herpes simplex virus.
What adverse effects secondary to acyclovir,
Genital Herpes
famciclovir or valacyclovir should be anticipated?
B.J., a 28 yr old, sexually active male, complains of painful penile lesions and tender inguinal adenopathy. The lesions are vesicular and limited to the scrotum and
shaft of the penis. The onset of the lesions
fever, malaise, headache, and itching. Viral
cultures of the lesions were positive for herpes simplex virus.
What topical agents should be avoided in patients
Genital Herpes
B.J., a 28 yr old, sexually active male,
complains of painful penile lesions and tender inguinal adenopathy. The lesions are vesicular and limited to the scrotum and shaft of the penis. The onset of the lesions was preceded by a one week period of fever, malaise, headache, and itching. Viral cultures of the lesions were positive for herpes simplex virus.
What topical agents should be avoided in patients
Genital Herpes
B.J., a 28 yr old, sexually active male, complains of painful penile lesions and tender inguinal adenopathy. The lesions are vesicular and limited to the scrotum and
•Topical local anesthetics should be avoided
shaft of the penis. The onset of the lesions
because they counteract efforts to keep the lesions
fever, malaise, headache, and itching. Viral cultures of the lesions were positive for
•Topical corticosteroids may predispose the patient
PRESS RELEASE JAMES M. O’DELL Chief of Police Released: October 8, 2012 POLICE BLOTTER Monday, October 1, 2012 0235 An officer was sent to the Kettering Jail for a prisoner detail. Beavercreek Police had arrested Justin D. Dunham W/M 26 and transported him to our jail on our failure to comply warrant; original charge was no brake lights. 2012-18648 1017 Officers were
Onderzoek Nederland: ook e-sigaret is giftig en gevaarlijk AMSTERDAM 28/11 - De elektronische sigaret is, net als een gewone peuk, een verslavend product dat zeer giftige stoffen bevat. Dat blijkt uit nieuw onderzoek van het Nederlandse Rijksinstituut voor Gezondheid en Milieu (RIVM), zo schrijft het Algemeen Dagblad donderdag. De Nederlandse overheidswaakhond op het gebied van vo