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EMRA Fellowship Guide: Opportunities for Emergency Physiciansby Krystle Shafer, MD; Bob Stuntz, MD, RDMS, FAAEM, FACEP; Danish S.

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However, the infection usually remains in the bladder.

A woman is more likely to develop pyelonephritis when she is pregnant.

For first-line treatment, clarithromycin triple therapy should be confined to patients with no previous history of macrolide exposure who reside in areas where clarithromycin resistance amongst isolates is known to be low.

Most patients will be better served by first-line treatment with bismuth quadruple therapy or concomitant therapy consisting of a PPI, clarithromycin, amoxicillin, and metronidazole.

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