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Home > CME > Courses
Antibiotic Use in the Elderly Population

Certified for 1 Category 1 AMA Credit

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

Release Date: July 7, 2006
Expiration Date: July 7, 2009
TARGET AUDIENCE:
Primary care physicians

OBJECTIVES:
Upon completion of this CME activity, physicians and other healthcare professionals should be able to:
  • To review the common infectious diseases in elderly patients
  • To discuss the appropriate use of antibiotics in some common clinical situations in elderly patients
  • To review the appropriate empiric antibiotic therapy of common infectiouis diseases in elderly patients
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SOURCE:
FACULTY:
Martin Rodriguez , MD
Assistant Professor of Medicine, UAB-Montgomery Internal Medicine Residency Program
University of Alabama at Birmingham
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DISCLOSURE:
The faculty has no commercial affiliations to disclose.

Because of the nature of preliminary studies, some products mentioned are unlabeled and investigational. Dosages, indications, and methods of use of drugs mentioned in this publication may reflect the experience of the authors, clinical literature, or other resources. Therefore, please see the full prescribing information before using any licensed product mentioned.

CME PARTICIPATION:
To participate in this online course for CME credit, please review the objectives before beginning the program. Complete the course and the self-assessment test before July 7, 2009 to receive CME credit. Your certificate will then be available online. This process should take approximately 1 hour.

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 publication 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. UAB is an equal opportunity/affirmative action institution.

Case 1:

A 70 year-old woman comes to your office for a follow up visit. She has a history of coronary artery disease, hypertension and osteoporosis. She has no new complaints and review of her systems is negative. On physical exam her blood pressure is 154/76, otherwise she has no abnormal findings. You order a routine serum potassium and creatinine. At the time of collecting the sample the nurse makes a mistake and orders a urinalysis instead. You receive the results the following day showing 1+ bacteria, 2+ leukocyte esterase, and 5-10 white blood cells.

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Case 1, Question 1

1. Based on the available information and current recommendations, which of the following interventions is indicated at this time?

A. Seven-day course of trimethoprim/sulfamethoxazole
B. Three-day course of ciprofloxacin
C. Fourteen-day course of nitrofurantoin
D. Ask her to come back to the office to obtain a urine culture and start treatment only if the results show more than 100000 colony forming units (CFU) of organisms

E. No treatment or further evaluation is indicated


 



 
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