Continuing Medical Education
School of Medicine, UAB
   
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Online CME Courses
Urinary Tract Infections


Certified for 1 AMA PRA Category 1 Credit


Co-Sponsored by the University of Alabama School of Medicine
Division of Continuing Medical Education and
The Alabama Quality Assurance Foundation

Release Date: September 6, 2006
Expiration Date: September 6, 2009

TARGET AUDIENCE:
Primary care physicians

OBJECTIVES:
Upon completion of this CME activity, clinicians should be able to:
  • To review the most common urinary tract infections seen in the outpatient setting
  • To review the pathophysiology and microbiology of urinary tract infections
  • To review the recommendations for treatment of ambulatory asymptomatic and symptomatic urinary tract infections
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SOURCE:
FACULTY:

Martin Rodriguez, MD
Clinical Fellow in Infectious Diseases
Massachusetts General Hospital

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DISCLOSURE:
Dr. Rodriguez has no commercial affiliations to disclose.
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CME PARTICIPATION:
To participate in this program for CME credit, please review the objectives before beginning the program. Take the course, complete the case questions and evaluation before October 6, 2009 to receive CME credit. Your certificate will then be available online. This process should take approximately 60 minutes.

ACCREDITATION:

The University of Alabama School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Alabama School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The boards of nursing in many states, including Alabama, recognize Category 1 continuing medical education courses as acceptable activities for the renewal of license to practice nursing.

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DISCLAIMER: 
Dosages, indications, and methods of use of any drug referred to in this online course may reflect the clinical experience of the authors, clinical literature, or other clinical resources. Therefore, please see the full prescribing information before using any product mentioned.

Case 1:

A 24-year-old woman comes to the clinic to discuss recent laboratory results. A month ago, a close friend was admitted to a local hospital with a severe urinary infection that “got into her bloodstream.” Your patient was very concerned about this and went to a local walk-in clinic asking to be screened for a urinary tract infection. She recently received the results in the mail and comes to the clinic to review them with you. She is asymptomatic and has no past medical history. She is married and has a 3-year-old boy. Her physical exam is unremarkable. A urinalysis showed 1+ leukocyte esterase; a urine culture revealed >100000 CFU of Escherichia coli.

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Case 1, Question 1 of 7

1. Which of the following management strategies is the most appropriate for this patient?

A. Explain that even though the urine culture was positive she does not need treatment
B. Start oral ciprofloxacin for three days
C. Repeat a urine dipstick, and if the presence of pyuria is confirmed start treatment
D. Start oral ampicillin for seven days



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