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Patients with severe community-acquired intra-abdominal infection should be treated empirically with antimicrobial regimens that have broad-spectrum activity against gram-negative organisms, such as meropenem merrem , imipenem cilastatin primaxin , doripenem doribax , or piperacillin tazobactam zosyn as single agents, or a combination of metronidazole with ciprofloxacin, levofloxacin, ceftazidime fortaz , or cefepime maxipime; table 1 .

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A heterogenous term that includes any of the following any structural or functional abnormality of the urinary tract history of urinary instrumentation or organ transplant systemic disease diabetes, renal insufficiency, immunodeficiency men due to high risk for urologic abnormality lippism anatomy, instrumentation, transplant s, p, e, c, i , a , l systemic disease pregnancy elderly compromised renal function or immune function instrumentation anatomy long urethra males these require a longer course of abx similar to uncomplicated pyelonephritis patients with complicated cystitis who can tolerate oral therapy oral fluoroquinolone such as ciprofloxacin 500 mg orally twice daily or 1000 mg extended release once daily or levofloxacin 750 mg orally once daily for five to seven days.

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Lopinavir; ritonavir major due to an increased risk for qt prolongation and torsade de pointes tdp , caution is advised when administering lopinavir; ritonavir with ciprofloxacin.

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