[Answered]: Often, infections have several treatment…

Often, infections have several treatment possibilities depending on patient specific and disease specific characteristics. Below are two cases covering some of this week’s topics. Using current recommendations from sources such as Dynamed and the Infectious Disease Society of America’s Treatment Guidelines, compare and contrast possible treatment options for BOTH cases. The focus will be on safety, efficacy of the regimens and patient’s specific characteristics where available. H.T. is a 23-year-old female who presents to the ambulatory care clinic with complaints of pain and burning on urination, with an increased need to urinate for the past 3 days. She has been drinking cranberry juice since her symptoms began but has not experienced any relief in her symptoms. H.T. was diagnosed with acute uncomplicated cystitis 6 months earlier at the student health clinic just before she graduated from college. She was given a 3-day course of an antibiotic but cannot recall its name. She has allergies to Shellfish (swollen lips), amoxicillin (rash). A first-year medical resident asks you for a recommendation regarding the appropriate antibiotic treatment for this patient. The clinic outpatient antibiogram demonstrates that E. coli isolates are susceptible to all available treatment options. If the results of the patient’s urine hCG had been positive, how would your recommendation have changed, if at all?