Complicated UTI

Question 1

definition complicated UTI

Answer 1

increased chance of a complicated course

Question 2

categories 6

Answer 2

all men
pregnant women
immunocompromised
abnormal renal tract or functional abnormality
indwelling catheter
renal disease

Question 3

UTI in pregnancy risk of pyelonephritis

Answer 3

4-7% have ABU but 20-40% risk pyelonephritis

Question 4

course of abx lenght in preg for ABU

Answer 4

short course 2-7 days rather than routine prophyalxis

Question 5

course of abx lenght in preg for ABU

Answer 5

short course 2-7 days rather than routine prophyalxis

Question 6

how to choose antibiotic

Answer 6

bear in mind allergies, sensitivities and pregnancy status

Question 7

safe abx in pregnancy

Answer 7

penicillin

cephs

Question 8

abx to avoid in pregnancy

Answer 8

trimethoprim 1st T
nitrofurantoin at term
aminoglycosides T2 and T3
all trimesters : quinolones, tetracylines

Question 9

abx to avoid in pregnancy

Answer 9

trimethoprim 1st T
nitrofurantoin at term
aminoglycosides T2 and T3
all trimesters : quinolones, tetracylines

Question 10

pregnancy what to do once infection treated

Answer 10

repeat MSU to ensure cleared

Question 11

recurrent UTI in pregnancy

Answer 11

low dose cephalexin 125-250mg as prophylaxis