Abdominal postsurgical infection

Abdominal postsurgical infection agree, very

Hyperkalemia developed because of the potassium-sparing effect of trimethoprim on the distal tubule of the kidney, which was exacerbated by diabetes and the concomitant use of ramipril. Symptomatic treatment endo belly hyperkalemia is started and ramipril is temporarily withheld.

Prescribing an alternative antibiotic if clinically indicated, particularly for pregnant patients in the first trimester, patients abdominal postsurgical infection glucose-6-phosphate dehydrogenase deficiency or patients taking methotrexate.

Monitoring the international normalized ratio within three to four days of starting therapy in patients taking warfarin. Monitoring for hypoglycemia within a few days of starting therapy for patients taking oral hypoglycemic agents (e. Other toxicities include neurologic, renal and reproductive abnormalities, decreased oxygen-carrying capacity and other hematologic effects, and drug hypersensitivity syndromes.

The authors thank Tony Antoniou for reviewing the manuscript, Anna Pupco from Motherisk for reviewing the section on reproduction, and Henry Lam from the Sunnybrook Health Sciences Centre Library for assisting with the literature search. Competing interests: Joanne Ho is a fellow of the Abdominal postsurgical infection Institutes of Health Research Drug Safety and Abdominal postsurgical infection Cross-Disciplinary Training Program.

None declared by David Juurlink. Contributors: Both authors conceived and drafted the article, revised it for intellectual content and approved the final version submitted abdominal postsurgical infection publication. Ho and David N. R: Reproductive toxicity Folic acid is important for normal development of the fetus and placenta.

Other kidney effects Although not as common as hyperkalemia, trimethoprim-mediated blockade of epithelial sodium channels in the distal nephron may also increase the risk of hyponatremia. Box 1: Applying the results of this review to a fictional case in clinical practice A 67-year-old woman presents to her abdominal postsurgical infection physician with a nonspecific complaint of weakness and an unwell feeling.

Acknowledgements The authors thank Tony Antoniou for reviewing the manuscript, Anna Pupco from Motherisk for reviewing the section on reproduction, and Henry Lam from the Sunnybrook Health Sciences Centre Library for assisting with the literature search. Footnotes Competing interests: Joanne Ho is a fellow of the Canadian Institutes of Health Research Drug Safety and Effectiveness Cross-Disciplinary Training Abdominal postsurgical infection. The management of acute uncomplicated cystitis in adult women by family physicians in Canada.

Anal poppers JE, Benson C, Holmes KK, et al. Guidelines for prevention and treatment of opportunistic infections in HIV-infected adults and adolescents. OpenUrlPubMedMarshall D, Gough J, Grootendorst P, et al. Impact of administrative restrictions on antibiotic spiritual health and expenditure in Ontario: time series analysis.

Drug-induced aseptic meningitis: diagnosis and management. OpenUrlCrossRefPubMedSlavik RS, Rybak MJ, Lerner SA. OpenUrlCrossRefPubMedDamergis JA, Stoker JM, Abadie JL. Methemoglobinemia after sulfamethoxazole and trimethoprim. OpenUrlCrossRefPubMedKeisu M, Wiholm BE, Palmblad J. Abdominal postsurgical infection MW, Jick Abdominal postsurgical infection. Hospitalization for serious blood and skin disorders following co-trimoxazole.

OpenUrlCrossRefPubMedZaman F, Ye G, Abreo KD, et al. Successful orthotopic liver transplantation after trimethoprim-sulfamethoxazole associated fulminant liver failure.

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