Clinical features

Fever with chills and rigors,

Dysuria, lower abdominal pain and loin pain

Investigations

CBC
Urine microscopy
Urine culture
Blood culture
USG

Organisms responsible

1. E.coli

2. Klebsiella

3. Proteus

4. Enterobacter

5. Pseudomonas

6. Enterococcus faecalis

7. Staphylococcus aureus

Urinary Tract Infection Treatment

In patients who are seriously ill

High grade fever, tachycardia and hypotension

1. Ceftazidime 1gm IV Q 8-12H or Cefeparazone with Sulbactum 1-2gms IV Q12H or Cefpirome 1-2gm Q 12H IV or Gentamicin/Netilmycin/Tobramycin 3-5mg/kg/day IV OD/ Amikacin 15mg/kg/day IV OD Or Ofloxacin 400mg IV Q12 Or

2. Piperacillin 12-16gm/day IV in four divided doses + Gentamicin/Netilmycin/Tobramycin 3-5mg/kg/day IV OD/ Amikacin 15mg/kg/day IV OD Ciprofloxacin 400mg IV Q12H Or

3. Ciprofloxacin 400mg IV Q12H+ Gentamicin/ Tobramycin 3-5mg/kg/day IV OD or Amikacin 15mg/kg/day IV OD

Milder UTI are treated with

Ciprofloxacin 500mg PO Q12H or

Ofloxacin 200mg PO Q12H or

Cotrimoxazole DS PO Q12H