recurrent urinary tract infection

MN585 Unit 6 Assessment

Using a recognized guideline, in your clinical rotation, select one male OR female patient age >64 years with recurrent urinary tract infection, or prostatitis (male) and compare the clinical course and treatment with the appropriate assessment and management guidelines and provide recommendations for care or note if care has been appropriate or has deviated from the standard of care.

T.F. is a 66 year old African American female who presents today with increased pain and burning on urination and complains of a fever that is relieved by acetaminophen but returns when medication is wearing off. She reported that her symptoms started 2 days ago with increased urgency to urinate but with minimal cloudy urine output. Complains of fever, chills and weakness. Denies vaginal discharge, hematuria, polyuria or incontinence. Complains of foul smelling urine, pain and burning on urination, urinary hesitancy, urgency and dysuria. Denies flank pain, joint pain, muscle pain. Has a history of recurrent UTI,s. 

Labs: UA/C&S, CBC

Treatment from clinical: Ciprofloxacin 500 mg PO BID for 5 days.

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