Alina T
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DOC for an urinary tract infection in a near term pregnant woman:
A. Cefadroxil
B. Cotrimoxazole
C. Penicillin V
D. Ceftriaxone
E. Tetracycline
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| mjl1717
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answer-a cefadroxil has some gram negative coverage proteus,e.coli,kleb
(peck)
the last 2 are out:
tetracycline -mottling of the teeth
ceftriazone--(killing a fly with a hammer) not usually given for uti's, also its I.M.
PCN-not enough coverage for gram negatives
cotrimazole-agranulocytosis,blood dyscrasias
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| Alina T
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:icon_salut: great reasoning mjl!!
lets also mention the risk for kernicterus in newborn, with Cotrimoxazole.
Ceftriaxone would work in this case but it can only be administered parenterally...as u said. y is oral adm so important in pregnancy?
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