Canterbury DHB

Urinary Tract Infection / Pyelonephritis

• Asymptomatic bacteriuria does not usually require treatment and in the presence of an indwelling catheter (common) does not indicate infection.
• If symptomatic, see urinary tract infection or pyelonephritis guideline.
• Urosepsis following urological procedure commonly presents with rigors and fever.

Urosepsis

gentamicin HMLSchedNZFPMLnoids Gentamicin F: n/a Half life: 3 hours Elimination: renal fe: 0.9 Additional points: TDM.

IV 3 to 5 mg/kg ideal body weight stat

• See dosing guidelines

AND

amoxicillin HMLSchedNZFPMLnoids Amoxicillin F: 0.9 Half life: 2 hours Elimination: renal fe: 0.9

IV 1 g every eight hours

• fe = 0.9, consider adjusting dose if CrCl reduced.

must be prescribed or recommended by a consultant.

Topic Code: 99287