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YazanDaaboul (talk | contribs)
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:*Women with catheter-acquired bacteruria that persists 48 hours following removal of indwelling catheter (antimicrobial therapy may be considered)
:*Women with catheter-acquired bacteruria that persists 48 hours following removal of indwelling catheter (antimicrobial therapy may be considered)
:*Renal transplant recipients (antimicrobial therapy may be considered but evidence is insufficient)
:*Renal transplant recipients (antimicrobial therapy may be considered but evidence is insufficient)
*  '''Treatment of asymptomatic bacteriuria''' is '''<u>not</u>'''  '''recommended for the following patient populations'''
*  Treatment of asymptomatic bacteriuria''' is '''<u>not</u>'''  '''recommended for the following patient populations
:* Premenopausal, nonpregnant women
:* Premenopausal, nonpregnant women
:* Diabetic women
:* Diabetic women
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:::* Preferred regimen: [[Trimethoprim-Sulfamethoxazole]] DS 1 tab PO bid for 3 days after obtaining urine cultures
:::* Preferred regimen: [[Trimethoprim-Sulfamethoxazole]] DS 1 tab PO bid for 3 days after obtaining urine cultures
:::* Note: Screening for or treatment of asymptomatic bacteriuria prior to transurethral resection of the prostate (TRUS) is recommended
:::* Note: Screening for or treatment of asymptomatic bacteriuria prior to transurethral resection of the prostate (TRUS) is recommended
==Ectoparasitic Infections==
===Pediculosis Pubis===
* '''Pediculosis Pubis'''<ref name="pmid21160459">{{cite journal| author=Workowski KA, Berman S, Centers for Disease Control and Prevention (CDC)| title=Sexually transmitted diseases treatment guidelines, 2010. | journal=MMWR Recomm Rep | year= 2010 | volume= 59 | issue= RR-12 | pages= 1-110 | pmid=21160459 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21160459  }} </ref>
:* Preferred regimen (1): [[Permethrin]] 1% cream rinse applied to affected areas and washed off after 10 minutes
:* Preferred regimen (2): [[Pyrethrin]] with [[Piperonyl butoxide]] applied to the affected area and washed off after 10 minutes
:*Alternative regimen (1): [[Malathion]] 0.5% lotion applied for 8-12 hours and washed off
:*Alternative regimen (2): [[Ivermectin]] 250 µg/kg PO singled dose and then repeated in 2 weeks
===Scabies===
* '''Scabies''' <ref name="pmid21160459">{{cite journal| author=Workowski KA, Berman S, Centers for Disease Control and Prevention (CDC)| title=Sexually transmitted diseases treatment guidelines, 2010. | journal=MMWR Recomm Rep | year= 2010 | volume= 59 | issue= RR-12 | pages= 1-110 | pmid=21160459 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21160459  }} </ref>
:* Preferred regimen (1): [[Permethrin]] cream 5% applied to all areas of the body from the neck down and washed off after 8-14 hours
:* Preferred regimen (2): [[Ivermectin]] 250 µg/kg PO singled dose and then repeated in 2 weeks
:* Alternative regimen: [[Lindane]] 1% lotion  applied in a thin layer to all areas of the body from the neck down and thoroughly washed off after 8 hours


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 17:52, 4 August 2015

Asymptomatic bacteriuria

  • Treatment of asymptomatic bacteriuria is only recommended for the following patient populations
  • Pregnant women
  • Patients pending urological procedure
  • Women with catheter-acquired bacteruria that persists 48 hours following removal of indwelling catheter (antimicrobial therapy may be considered)
  • Renal transplant recipients (antimicrobial therapy may be considered but evidence is insufficient)
  • Treatment of asymptomatic bacteriuria is not recommended for the following patient populations
  • Premenopausal, nonpregnant women
  • Diabetic women
  • Older persons residing in the community
  • Elderly, institutionalized patients
  • Individuals with spinal cord injury
  • Catheterized patients while the catheter remains in situ
  • Note: Pyuria accompanying asymptomatic bacteriuria is not indicated for antibiotic therapy.


  • Asymptomatic bacteriuria[1][2]
  • 1. Causative pathogens
  • Escherichia coli
  • Klebsiella pneumoniae
  • Coagulase-negative staphylococci
  • Enterococcus
  • Group B streptococci
  • Gardnerella vaginalis
  • Pseudomonas aeruginosa
  • Proteus mirabilis
  • Providencia stuartii
  • Morganella morganii
  • 2. Specific considerations
  • 2.1 Women, pregnant[3]
  • Preferred regimen (1): Nitrofurantoin 100 mg PO bid for 3–5 days (avoid in glucose-6-phosphate dehydrogenase deficiency)
  • Preferred regimen (2): Amoxicillin 500 mg PO tid for 3–5 days
  • Preferred regimen (3): Amoxicillin-Clavulanate 500 mg PO bid for 3–5 days
  • Preferred regimen (4): Cephalexin 500 mg PO tid for 3–5 days
  • Preferred regimen (5): Fosfomycin 3 g PO single dose
  • Alternative regimen, second/third trimester only: Trimethoprim PO bid for 3–5 days
  • Note (1): Pregnant women should be screened for bacteriuria by urine culture at least once in early pregnancy, and they should be treated if the results are positive.
  • Note (2): Monthly screening for recurrent bacteriuria should be undertaken following therapy.
  • Note (3): IDSA guidelines recommend 3–7 days of antimicrobial therapy.
  • 2.2 Urologic interventions[4]
  • Preferred regimen: Trimethoprim-Sulfamethoxazole DS 1 tab PO bid for 3 days after obtaining urine cultures
  • Note: Screening for or treatment of asymptomatic bacteriuria prior to transurethral resection of the prostate (TRUS) is recommended

Ectoparasitic Infections

Pediculosis Pubis

  • Pediculosis Pubis[5]
  • Preferred regimen (1): Permethrin 1% cream rinse applied to affected areas and washed off after 10 minutes
  • Preferred regimen (2): Pyrethrin with Piperonyl butoxide applied to the affected area and washed off after 10 minutes
  • Alternative regimen (1): Malathion 0.5% lotion applied for 8-12 hours and washed off
  • Alternative regimen (2): Ivermectin 250 µg/kg PO singled dose and then repeated in 2 weeks

Scabies

  • Preferred regimen (1): Permethrin cream 5% applied to all areas of the body from the neck down and washed off after 8-14 hours
  • Preferred regimen (2): Ivermectin 250 µg/kg PO singled dose and then repeated in 2 weeks
  • Alternative regimen: Lindane 1% lotion applied in a thin layer to all areas of the body from the neck down and thoroughly washed off after 8 hours

References

  1. ↑ Nicolle, Lindsay E.; Bradley, Suzanne; Colgan, Richard; Rice, James C.; Schaeffer, Anthony; Hooton, Thomas M.; Infectious Diseases Society of America; American Society of Nephrology; American Geriatric Society (2005-03-01). "Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults". Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 40 (5): 643–654. doi:10.1086/427507. ISSN 1537-6591. PMID 15714408.
  2. ↑ "Guidelines on Urological Infections".
  3. ↑ "Guidelines on Urological Infections".
  4. ↑ Gilbert, David (2015). The Sanford guide to antimicrobial therapy. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808843.
  5. ↑ 5.0 5.1 Workowski KA, Berman S, Centers for Disease Control and Prevention (CDC) (2010). "Sexually transmitted diseases treatment guidelines, 2010". MMWR Recomm Rep. 59 (RR-12): 1–110. PMID 21160459.
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