@ConanLiuMD Жыл бұрын
Do you have any other tips or pearls for treating UTI from your experience? Do you treat most complicated UTIs with cefepime from the get go? And what is your approach to altered mental status and a suspicious looking urinalysis? Let me know in the comments below! :)
@theodorewojcik2027 Жыл бұрын
In diabetics and older patients for simple cystitis I will typically extend treatment out to 7d
@gingerr.2117 Ай бұрын
Dont forget to also treat the symptoms. Bladder spasms and burning with urination can be extremely uncomfortable. Make sure pt gets an analgesic such as phenazopyridine. Also, cranberry supplement tablets helps support the pain and burning and is much easier to take than drinking pure cranberry juice.
@ItWillRainXO 8 ай бұрын
THANK YOU!!! I’m starting intern year next year- your videos are so easy to follow and to the point! Thanks for putting the time into making these!
@ConanLiuMD 8 ай бұрын
Thank you!! You got this!!
@DS-nr9zc Жыл бұрын
As a current med student these videos are super helpful! 🙂
@gingerr.2117 Ай бұрын
Very thorough, and easy to understand. I like the whiteboard method. Thank you Dr. Liu!
@nha8909 9 ай бұрын
great high yield coverage, feeling blessed that I have found this channel early in my training
@jankicheese 5 ай бұрын
very helpful, thanks
@OM-bi9wi 7 ай бұрын
Very good
@ktpedigo8799 2 ай бұрын
There has been an increase with the bacteria Citrobacter Koseri in uti's. Especially with many patients on immune suppressants. How do you recommend treating this particular uti? Do you still advise 3rd generation cephlasporins when the culture shows susceptibility? Also can you highlight on use of IM Rocephin or ceftraxione in an outpatient treatment for citrobacter koseri type bacteria? 3 shots in 3 days for treatment. Thank you love the video!
@areufkingkiddingme 10 ай бұрын
Hi, dumb question but regarding kidney transplant patients. You say broad spectrum antibiotics for all kidney transplant patients. Does that mean even for outpatients with cystitis? Assuming this is tailored to culture results.
@ConanLiuMD 9 ай бұрын
Sorry, that was mainly for complicated UTI! For simple cystitis you do slightly different antibiotics than in a normal patient population - no fosfomycin or TMP/SMX, however you can still give nitrofurantoin, beta lactams, or fluoroquinolones (lower threshold to use this than in patients without renal transplant). UpToDate also suggests "For simple cystitis that occurs earlier than six months posttransplant, we treat for 10 to 14 days. For simple cystitis that occurs more than six months posttransplant, we treat for five to seven days."
@monstar15 Жыл бұрын
Thanks for the video! How would you get a UA/UCx from somebody that presents with a chronic Foley. Let's say the chronic Foley has history of hard placement requiring urology to place each time. Would you still remove the foley and get new foley placed to get urine sample of that to send off for testing for suspicions of UTI?
@ConanLiuMD Жыл бұрын
Great question! Yes, unfortunately you still would need to get the Foley changed out and take a fresh sample in order to get an accurate UA/UCx. It always feels bad to give urology a consult like that but truly if there is a strong history of difficult placement and the nurses have already tried and failed, it's just what has to be done!
@OM-bi9wi 7 ай бұрын
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