Patient Care and Monitoring

1. Assess the patient's symptoms to determine response to the antimicrobial regimen you have chosen.

2. Review any microbiologic data:

• Based on urinalysis and gram stain (if available), is your empiric selection reasonable?

• Based on culture and susceptibility data (if available), are there any changes that need to be made from your initial empiric antimicrobial selection (i.e., resistance to the regimen initially selected)?

3. Determine if the patient may benefit from prophylactic therapy (i.e., recurrent UTIs secondary to chronic urinary catheterization due to paraplegia).

4. Evaluate the patient for the presence of adverse drug reactions, drug allergies, and potential drug interactions.

5. Stress the importance of complying with the prescribed antimicrobial regimen and to follow-up with the health care provider if signs and symptoms recur.

Abbreviations Introduced in This Chapter

CFU Colony-forming unit s CrCi Creatinine clearance SCr Serum creatinine UTI Urinary tract infection jJPVk. WWVtft

Self-assessment questions and answers are available at ht-tp://www. mhpharmacotherapy. com/pp.html.


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80 Sexually Transmitted Infections

Marlon S. Honeywell and Michael D. Thompson


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