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<< Diagnosis And Management Of Urinary Tract Infections In The Emergency Department

Special Circumstances For Urinary Tract Infections

Pregnancy is associated with decreased ureteral motility and mild hydronephrosis. Therefore, there is an increased risk of both lower and upper UTI. Given the increased materno-fetal morbidity associated with pyelonephritis, traditional practice calls for inpatient treatment. Due to the considerable risk to patient/fetus, most emergency clinicians and obstetricians admit pregnant women for parenteral antibiotics such as a second- or third-generation cephalosporin, gentamicin, or aztreonam.84,86,95 There is some evidence (1b) to suggest an outpatient option for these patients.96 The patients were mild to moderately ill, and received 2 doses of intramuscular ceftriaxone prior to discharge with very close follow-up (48-72 hours).19,24,83-86,95-100

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