Feline and K9 UTI's

Question 1

Best way to dx a UTI?

Answer 1

Culture to ID bacteria

Question 2

When do UTIs occur?

Answer 2

When uropathogenic bacteria overcomes host defenses and invades and persists in any portion of UT that’s normally sterile (Mid to proximal urethra, bladder ureters and kidney)

Question 3

Empiric abx therapy

Answer 3

Giving abx without knowing the cause

Question 4

Most common cause of UTIs

Answer 4

E. coli
Enterococcus (cephalosporin won’t work → convenia over given in practice and doesn’t work)

Question 5

Which abx works best for bacteria?

Answer 5

Amoxicillin and clavamox

Question 6

T/F: urinalysis over diagnoses UTI in 70-90% in cats

Answer 6

TRUE
↑ in false +

Question 7

When should a cx be done?

Answer 7

Persistent CS after starting abx
Recurring CS after finishing abx
High risk/ life-threatening

Question 8

Making a UTI dx

Answer 8

Bacterial growth (high #s, usual species, single strain)
Urine cytology
CS

Question 9

Abx selection

Answer 9

In vitro abx effectiveness (susceptibility plan)
Location of infection
Virulence of bacteria
Inhibiting Quotient

Question 10

Which abx should be used for different locaitons?

Answer 10

Primarily in the urine: water soluble antimicrobics
Localized in tissue: lipid soluble, ↑ dose, more frequent

Question 11

Which bacteria has ↑ virulence?

Answer 11

Proteus, urease producing staph and cornyebacterium
(lipid soluble)

Question 12

Abx duration

Answer 12

Sporadic bladder infections: 3-5d
Recurrent infections: 5-10d
Kidney infections: 1-2w
Prostate infections: 1-2w
Infection-induced struvite stones: untile dissolved 2-3m
UTIs of undetermined cause: 3-5d