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AUA Fundamentals 2021 > Infections > Flashcards

Infections Flashcards

1
Q

Empiric UTI treatment

A

3 days of TMP/SMX
5 days of Nitrofurantoin 100 mg po bid
1 time dose of 3 grams Fosfomycin

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2
Q

Recurrent UTI definition

___ in 6 months

___ in 12 months

A

2 in 6

3 in 12

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3
Q

Multiple infections caused by the same bacteria (bacterial persistence) is often due to ____

A

GU tract issue - BPH, stones, UI

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4
Q

Cystoscopy and upper tract imaging should not be routinely obtained in the ___ patient with r UTI

A

index pt = young healthy female

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5
Q

Imaging for rUTI - ____

A

U/S or CT for stones

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6
Q

Surgery to reduce rUTI - ____

A

stone surgery (50-80% effective)

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7
Q

Screening for asymptomatic bacteriuria in 2 patients only - ___ & ____

A

pregnant

pre-op endoscopic procedure

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8
Q

Prophylactic antibiotics to reduce rUTI are effective during the course of antibiotics; ____ than placebo once stopped

A

no different

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9
Q

Proanthocyanins in ____ prevent adhesion of bacteria to urothelium

A

cranberry

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10
Q

Estrogen for rUTI

A

Clinicians should recommend vaginal estrogen to peri-and post- menopausal women with rUTI

Patients on systemic estrogen should still be placed on vaginal estrogen

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11
Q

Repeat urine culture if UTI symptoms persist on treatment beyond ____ days

A

7

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12
Q

Treatment of nephrogenic adenoma

A

complete surgical resection

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13
Q

Pyelonephritis workup

A

Urine & blood cultures
CBC, BUN, Creatinine
Imaging: CT scan

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14
Q

Empiric pyelonephritis treatment

A

Ciprofloxacin 500 bid or 1000 mg ER for 7 days

TMP/SMX DS bid for 14 days

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15
Q

Treatment for renal abscess <5 cm

A

IV antibiotics

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16
Q

Treatment for renal abscess >5 cm

A

Percutaneous IR drainage

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17
Q

Treatment for perinephric abscess <3 cm

A

IV antibiotics

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18
Q

Treatment for perinephric abscess >3 cm

A

IR drainage

19
Q

Dx of air in collecting system

A

emphysematous pyelitis

20
Q

Treatment of emphysematous pyelitis

A

PCN or stent

21
Q

Dx of air in renal parenchyma

A

emphysematous pyelonephritis

22
Q

Treatment of emphysematous pyelonephritis

A

IR drainage or emergent nephrectomy

23
Q

Dx with infected, unilateral enlarged kidney, poor function and stone

A

xanthogranulomatous pyelonephritis (XGP)

24
Q

XGP treatment

A

IV antibiotics –> nephrectomy

25
Q

In 20-40% of pregnant women, bacteruria can progress to _____

A

pyelonephritis

26
Q

Antibiotics safe for UTI in pregnancy

A

Amoxicillin, Keflex, Ceftriaxone

27
Q

1 antibiotic to avoid during pregnancy

A

Bactrim

28
Q

Treatment of febrile UTI after transrectal procedure

A

Carbapenem, Amikacin

29
Q

Treatment of febrile UTI after transrectal procedure

A

Carbapenem, Amikacin

30
Q

Next step in men with prostatitis not responsive to antibiotic therapy

A

CT/MRI looking for abscess

31
Q

Wait ____ after febrile UTI in men to collect screening PSA

A

6 months

32
Q

Suspect ____ in men with recurrent UTI

A

chronic bacterial prostatis

33
Q

Treatment for chronic bacterial prostatis

A
  1. Ciprofloxacin x4 weeks

2. Bactrim x6-12 weeks

34
Q

Treatment for Asymptomatic candiduria

A

None, change catheter

35
Q

Candida glabarata is commonly resistant to ___

A

Fluconazole

36
Q

Indications for treating asymptomatic funguria

A

Neutropenic patients
Infants with low birth weight
Patients with renal allografts
Patients who are to undergo GU tract procedure

37
Q

Peri-op treatment for Asymptomatic candiduria

A

Fluconazole 400mg daily

38
Q

Treatment for symptomatic fungal UTI

A

Fluconazole 200mg x2 weeks

39
Q

____ antimicrobial prophylaxis is appropriate in the majority of uncomplicated urologic cases.


A

Single dose

40
Q

Parenteral antimicrobial prophylaxis agents should be administered within ___ of an incision

A

1 hour

41
Q

____ prophylaxis is not recommended for routine cystoscopy or for urodynamic studies in healthy adults

A

Antibiotic

42
Q

Antimicrobial prophylaxis solely for the prevention of infectious endocarditis is ___ for genitourinary procedures

A

NOT required

43
Q

Antimicrobial prophylaxis for the prevention of prosthetic hip or knee prostheses is recommended within ___ years of prosthetic joint placement

A

2

44
Q

Single-dose antifungal prophylaxis is recommended for patients with _____ undergoing endoscopic, robotic, or open surgery on the urinary tract.

A

asymptomatic funguria

AUA Fundamentals 2021 (11 decks)

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