219- UTIs

Question 1

what must a bacteria have to infect the bladder? the kidney?

Answer 1

type 1 pilus

Type 1 plus P pilus

Question 2

symtoms of cystitis? of pyelonephritis?

Answer 2

urinary frequency, urgency, and dysuria

same plus fever, chills, flank pain

Question 3

uncomplicated vs complicated

Answer 3

whether the host has a healthy, uncompromised urinary tract

Question 4

recurrent vs persistent infections

Answer 4

different species at longer intervals

same spp at shorter intervals

Question 5

how is treatment administered

Answer 5

empirically. It can be altered when culture results are returned two days later

Question 6

management of UTI in men, boys and children

Answer 6

considered to be complicated. Must do imaging and studies

Question 7

host factors that promote colonization

Factors taht facilitate ascent

Answer 7

genetics (more easily bind bacteria), spermicide, sexual activity, low estrogen, antimicrobials

cathers, incontinence, residual urine, reduced urine flow (obstruction, neurogenic, dehydration)

Question 8

what would you give to someone who is uncomplicated, first case

Answer 8

trimethroprim sulfamethoxazole (TMP/SMX)

Question 9

what would you give to someone who gets a uti while on penicillin

Answer 9

fluoroquinolone

Question 10

treatment for an older woman with asymptomatic bacturia

Answer 10

none

Question 11

management of mild to moderate pyelonephritis? severe?

Answer 11

fluoroquinolones

hospitalization and cephalosporin with antipseudomonal activity

Question 12

when do you start worrying about an abcess

Answer 12

afer more than five days of pyelonephritis