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Online CME Courses
Antibiotic Use in the Elderly Population


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: July 7, 2006
Expiration Date: July 7, 2009

TARGET AUDIENCE:
Primary care physicians

OBJECTIVES:
Upon completion of this CME activity, clinicians should be able to:
  • To review 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 infectious diseases in elderly patients
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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 July 7, 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 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 of 7

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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