A 76-year-old male visits his primary care physician with complaints of burning
ID: 79447 • Letter: A
Question
A 76-year-old male visits his primary care physician with complaints of burning with urination and a frequent urge to void. As the RN, you aid the patient in collecting a urine specimen to be sent for analysis. While awaiting the final results of drug susceptibility testing in the lab, the patient is prescribed oral sulfasoxazole.
The in vivo susceptibility of the pathogen is established, and the patient is maintained on sulfasoxazole. If no in vivo effect of the drug is observed by the patient following the first 7 days of antibiotics, what is the most appropriate action by the medical team?
A. increase the dose of sulfasoxazole
B. discontinue antibiotic therapy
C. discontinue sulfasoxazole and initiate a new antibiotic
D. initiate antiviral therapy
Explanation / Answer
Answer: (C) discontinue sulfasoxazole and initiate a new antibiotic
When a patient does not benefit from antimicrobial therapy chosen on the basis of clinical presentation, additional investigations are needed to determine the etiologic agent or exclude noninfectious diagnoses. The current antibiotic therapy should be stopped and shift to a new antibiotic.
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