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doyoudig
Forum Guru Topics: 144 Posts: 609 |
A 19-year-old primigravid woman at 34 weeks' gestation comes to the physician for a routine prenatal visit. Her pregnancy has been uncomplicated. She has no history of serious illness. She takes no medications and has no known allergies. Examination shows a uterus consistent in size with a 34-week gestation. A routine clean-catch urine culture grows greater than 100,000 colonies/mL of Escherichia coli. Which of the following is the most appropriate pharmacotherapy? A Ampicillin B Ciprofloxacin C Clindamycin D Doxycycline E Trimethoprim-sulfamethoxazole
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dncosta
| Licensed, finally  Topics: 19 Posts: 601
A
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doyoudig
| Forum Guru Topics: 144 Posts: 609
Is TMP-SMC a Contraindiaction in the 3rd Trimester??
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prathapdoctor
| Forum Elite Topics: 11 Posts: 386
yes, its a contraindication for sure, because it can cause hyperbilirubinemia by displacing it from albumin binding sites.
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Justice
| class of 2012  Topics: 140 Posts: 3096
Could be A, but they say that in most of the hospitals E. Coli is amp-resistant in 70%. I would go with TMP-SMC, at 34 weeks it should be safe...
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ram3
| Forum Newbie  Topics: 58 Posts: 642
Ampicillin
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