Diagnosis & Treatment of UTI Flashcards
what are the symptoms and signs associated with lower UTI
dysuria(pain passing urine), frequency in urination, nocturia, haematuria
what symptoms/signs are suggestive of upper urinary tract involvement in a UTI
fever, rigors and loin pain
what different types of urine specimen can be taken to assess bacteria in urine
midstream specimen of urine(MSU), suprapubic aspiration, or catheter specimen of urine(CSU)
when should urine dipstick NOT be used
elderly patients and those with catheter
what criteria is used to assess UTI in women of childbearing age
KASS’S classification, if >10^5 organisms/ml in urine then probable UTI
how long of an antibiotic course is usually adequate for treating uncomplicated lower UTI in women
3 day course
describe what abacterial cystitis is
when patient has UTI symptoms but no sig. bacteria in urine
early UTI, honeymoon cystitis etc.
what treatment is used for asymptomatic bacteriuria
usually NO antibiotics, unless pregnant then give antibiotics
when should antibiotics be used for catheterised patients
only if >10^5 organisms/ml in urine and symptoms of UTI
to avoid unnecessary resistance
what is the antibiotic treatment for female lower UTI
nitrofurantoin or trimethoprim orally
3 days
what is the antibiotic treatment for uncatheterised male UTI
get cultures!
nitrofurantoin or trimethoprim orally
7 days
what is the antibiotic treatment for complicated UTI or pyelonephritis
(in GP)
co-amoxiclav or co-trimoxazole
7 days
what is the antibiotic treatment for complicated UTI or pyelonephritis
(in hospital)
amoxicillin and gentamicin(IV) for 3 days
or co-trimoxazole and gentamicin if penicillin allergic
when should gentamicin be avoided
in pregnancy
when should trimethoprim be avoided
in 1st trimester of pregnancy
