tThe best should be selectected from the result of m/c/s. where this absent the quinolones antibiotic will be suitable but for pregnant patients, cephalosporins are the drug of choice.
of-course its fluoroquinolones........based on the culture and sensitivity
i think that theoretically you can start with Co-trimoxazole (Septrin D.S) but, as resistance emerge, quinolones (Ciprofloxacin, norfloxcacin) are very effective & no resistance developed !
I see everyday- Aminoglycosides and floxacins septrin is out not seen in clinical practice since last 15 yrs
Please help me by suggesting suitable topic for doing my project work of m.pharma (pharmaceutics)
You can go with the Novel Drug Delivery Systems (NDDS). Alternatively you can also opt for the bioequivalence studies....
ciprofloxacin in uncomplicated uti.........But coamoxiclave is preffered in PIDs.
Fluoroquinolones are known to be effective but in recurrent infection sensitivity test reveals the best drug
I think should make sensitive test for causative agent .we can use antibiotic broad spectrum like ampecillin before the result of sensitive test .after provide results we can use more antibiotic effectiveness
In the order: Trimethoprim, Nitrofurantoin, Cefalexin. This does not mean that quinolones do not work well.
Azithromycin is imp. to mention specially in NGU.
regards
Dr. Moahammed A.W.Mohammed Ali MD.,FICMS.,DM
depends on anti-biogramm ,if you have one, but most importantly is to not forget to change urinary pH for the better effect and results, and the time -days of antibiotics administration.Add acid acetilsalicilicum
Ya ph is most imptnt criteria 2 b taken into consideratn.............!
I guess there is no most popular oral choice for UTI. The choice will depend on several factors.
A. The resistance pattern in the region/local community. The microbiologist or the infectious disease doctors must be aware of this pattern and choose an appropriate empirical antibiotic for UTI.
B. Type of UTI - simple or complex. E.g. I wouldn't consider nitrofurantoin for a complex UTI.
C. Patient factors- example: Pregnancy (beta lactams should be preferred, Trimethoprim should be avoided in the first trimester and nitrofurantoin in the last trimester), at risk of C difficile/ past history of MRSA - avoid quinolones. Impaired renal function - based on the degree of impairment trimethoprim, nitrofurantoin and even ciprofloxacin (eGFR
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