Search results
Results from the WOW.Com Content Network
Within the penicillin class, pivmecillinam is considered the first-line empiric treatment for acute cystitis due to its wide spectrum of activity against gram-negative bacteria and its specific efficacy in the urinary tract. It has consistently demonstrated a high cure rate of over 85% for UTIs and a low resistance rate among E. coli strains.
Urinary tract infections, bacterial prostatitis, community-acquired pneumonia, bacterial diarrhea, mycoplasmal infections, gonorrhea: Nausea (rare), irreversible damage to central nervous system (uncommon), tendinosis (rare) Inhibits the bacterial DNA gyrase or the topoisomerase IV enzyme, thereby inhibiting DNA replication and transcription ...
Empiric treatment is often started before laboratory microbiological reports are available. This might be for common or relatively minor infections based on clinical guidelines (such as community-acquired pneumonia ), or for serious infections, such as sepsis or bacterial meningitis , in which delayed treatment carries substantial risks. [ 1 ]
Empiric antimicrobial therapy is typically broad-spectrum, in that it treats both a multitude of either Gram-positive and/or Gram-negative bacteria, diverse fungi or parasites respectively. When more information is known (as from a blood culture ), treatment may be changed to a narrow-spectrum antimicrobial which more specifically targets the ...
Uses of nitrofurantoin include the treatment of uncomplicated urinary tract infections (UTIs) and prophylaxis against UTIs in people prone to recurrent UTIs. [9] It is a first-line therapy for acute uncomplicated cystitis. [21] It is not recommended for empiric treatment of hospital-acquired UTIs. [21]
A urinary tract infection (UTI) is an infection that affects a part of the urinary tract. [1] Lower urinary tract infections may involve the bladder ( cystitis ) or urethra ( urethritis ) while upper urinary tract infections affect the kidney ( pyelonephritis ). [ 10 ]
Nosocomial infections can cause severe pneumonia and infections of the urinary tract, bloodstream and other parts of the body. [9] [10] Many types display antimicrobial resistance, which can complicate treatment. [11] In the UK about 300,000 patients were affected in 2017, and this was estimated to cost the NHS about £1 billion a year. [12]
Complicated urinary tract infections [ edit ] A 2015 systematic review found little evidence that would support the identification of a best antimicrobial regimen for complicated urinary tract infections , but identified three high-quality trials supporting high cure rates with doripenem, including in patients with levofloxacin -resistant E ...