scholarly journals Coffee-induced Hypokalaemia

2010 ◽  
Vol 3 ◽  
pp. CCRep.S4329 ◽  
Author(s):  
Yutaka Tajima
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Nitrogen Concentration ◽  
Oral Antibiotics ◽  
Caffeine Ingestion ◽  
Detailed Mechanism ◽  
Excess Amount ◽  
Potassium Replacement ◽  
Coffee Drinker

Taking an excess amount of caffeine (e.g. overdrinking caffeinated beverages) sometimes causes hypokalaemia. Although the detailed mechanism has not been clarified yet, an increased loss of potassium via the urine stream caused by the diuretic action of caffeine is proposed as one of the possibilities. We report the case of a 50-year-old female outpatient who rapidly developed severe generalized muscle weakness and fatigue. Her symptoms were considered to be principally due to hypokalaemia. Since her blood urea nitrogen concentration decreased greatly, it was suggested that she had massive polyuria due to overhydration (i.e. dilution of her body fluids). Initially, we considered that a urinary tract infection might have caused her illness. However, we found that she was a heavy coffee drinker and had constantly experienced massive diuresis. After a course of oral antibiotics, potassium replacement and stopping coffee (caffeine) ingestion, her symptoms resolved quickly. In conclusion, it was considered that overdrinking coffee (caffeine) induced her hypokalaemia. Probably, loss of potassium via the urine stream with secondary aldosteronism was the main cause of the hypokalaemia.

Oral Narrow-Spectrum Antibiotics for the Treatment of Urinary Tract Infection in Infants Younger Than 60 Days

2019 ◽  
Vol 9 (3) ◽  
pp. 378-381 ◽  
Author(s):  
Marisol Fernandez ◽  
Kathyrn Givens Merkel ◽  
Julio D Ortiz ◽  
Rachel Downey Quick
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Antimicrobial Stewardship ◽  
Education Intervention ◽  
Oral Antibiotics ◽  
Prescribing Practices ◽  
Narrow Spectrum ◽  
Successful Outcomes

Abstract Data on the outcome of infants younger than 60 days treated with a combination of intravenous and oral antibiotics for urinary tract infection are limited. This study examined susceptibility and successful outcomes of treatment with narrow-spectrum oral antibiotics. In addition, we describe the effects of antimicrobial stewardship education intervention on prescribing practices.

Resistance to oral antibiotics in 4569 Gram-negative rods isolated from urinary tract infection in children

2016 ◽  
Vol 175 (9) ◽  
pp. 1219-1225 ◽  
Author(s):  
Anna Calzi ◽  
Sara Grignolo ◽  
Ilaria Caviglia ◽  
Maria Grazia Calevo ◽  
Giuseppe Losurdo ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Oral Antibiotics ◽  
Gram Negative

scholarly journals Antimicrobial Susceptibility of Bacteria Isolated from Urine Samples Obtained from Nursing Home Residents

2009 ◽  
Vol 30 (11) ◽  
pp. 1116-1119 ◽  
Author(s):  
Rituparna Das ◽  
Eleanor Perrelli ◽  
Virginia Towle ◽  
Peter H. Van Ness ◽  
Manisha Juthani-Mehta
Keyword(s):  
Urinary Tract Infection ◽  
Nursing Home ◽  
Urinary Tract ◽  
Tract Infection ◽  
Nursing Home Residents ◽  
Urine Samples ◽  
Oral Antibiotics ◽  
Indwelling Catheter ◽  
E Coli ◽  
Resistance Patterns

In our study of nursing home residents with clinically suspected urinary tract infection who did not require the use of an indwelling catheter, we identified bacteria isolated from urine samples, the resistance patterns of these isolated bacteria, and the antibiotic therapy prescribed to the residents. Escherichia coli, the predominant organism isolated, frequently was resistant to commonly prescribed oral antibiotics. Trimethoprim-sulfamethoxazole remains the best empiric antimicrobial therapy for a urinary tract infection, but nitrofurantoin should be considered if E. coli is identified.

scholarly journals Comparative Effectiveness of Different Oral Antibiotics Regimens for Treatment of Urinary Tract Infection in Outpatients

Medicine ◽  
2014 ◽  
Vol 93 (28) ◽  
pp. e304 ◽  
Author(s):  
Meng-Tse Gabriel Lee ◽  
Shih-Hao Lee ◽  
Shy-Shin Chang ◽  
Si-Huei Lee ◽  
Matthew Lee ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Comparative Effectiveness ◽  
Oral Antibiotics

scholarly journals Community-Acquired Urinary Tract Infection byEscherichia coliin the Era of Antibiotic Resistance

2018 ◽  
Vol 2018 ◽  
pp. 1-14 ◽  
Author(s):  
Dong Sup Lee ◽  
Seung-Ju Lee ◽  
Hyun-Sop Choe
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract Infection ◽  
Antibiotic Resistance ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Oral Antibiotics ◽  
Antibiotic Resistant ◽  
E Coli ◽  
Tract Infections

Urinary tract infections (UTIs) caused byEscherichia coli (E. coli)are the most common types of infections in women. The antibiotic resistance ofE. coliis increasing rapidly, causing physicians to hesitate when selecting oral antibiotics. In this review, our objective is to ensure that clinicians understand the current seriousness of antibiotic-resistantE. coli, the mechanisms by which resistance is selected for, and methods that can be used to prevent antibiotic resistance.

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