130 - Urinary Tract Infection, Pyelonephritis, and Prostatitis Flashcards
UTI can be __ or __
uncomplicated (cystitis, pyelonephritis in non pregnant)
complicated - all the other cases
What are the risk factors for acute cystitis? 7
diaphragm high frequency intercourse previous UTI diabetes incontinence new sexual partner maternal history
In diabetic patients long term use of __ and __ increase the risk for UTI
insulin
SGLT2
UTI in men is more common when >_, due to __ hypertrophy. __ reduce the risk as well
45
prostate
circumcision
The main pathogens causing uncomplicated UTI and pyelonephritis are: 6
E.coli staph saprophyticus enterococcus proteus Klebsiella Citrobacter
The main pathogens causing complicated UTI and pyelonephritis are: 6
E.coli proteus Klebsiella pseudomonas aeruginosa actinobacteria Citrobacter
What are the classic symptoms of cystitis?
dysuria
urgency and frequency
nocturia
What are the classic symptoms of pyelonephritis?
low fever
lower back/rib pain
Severe pyelonephritis will present with: 5
high fever nausea vomiting flank pain papillary necrosis
Xanthogranulomatous pyelonephritis=__
combination of chronic infection + urinary obstruction - resulting in pus destroying the kidney parenchyma
only certain strains of __ will transform __ into nitrite
Enterobacteriaceae
nitrate
Uncomplicated cystitis with unspecific symptoms requires __. If __ or __ are + -> __treatment. If it is negative: __ or__
urine stick nitrite leukocytes empiric culture follow up
Men with cystitis should be tested with __. If there is fever as well- __/__
culture
US/CT
Treating uncomplicated cystitis in women can be done with __/__/__ - they will have a minimal influence in the flora, while __/__/__ will have a more significant effect.
nitrofurantoin pivmecillinam fosfomycin quinolones TMP-SMX ampicillin
Fosfomycin can be given in a __ dose
single
