Infections of the Urinary Tract- Schoenwald

Question 1

What is the mc cause (organism) of UTIs? What gram species is most common?

Answer 1

E. coli, gram -

Question 2

Symptoms of UTI?

Answer 2

Dysuria, frequency, low back pain, fever

Question 3

Organism involved in pyelonephritis?

Answer 3

E. coli, gram -

Question 4

A patient presents with flank pain, fever, n/v. On physical exam there is CVA tenderness and labs show WBC casts. What is the most likely dx?

Answer 4

Pyelonephritis

Question 5

WBC casts

Answer 5

Pyelonephritis

Question 6

Tx and duration for Pyelonephritis?

Answer 6

Abx targeted to organism (anything with gram - coverage) x 10-14 days IV or PO

*Ceftriaxone 10-14 days IV or PO

Question 7

Urinalysis for this disease?

Alkaline pH, + leukocyte esterase (WBC), + nitrate

Answer 7

Pyelonephritis

Question 8

Pyelonephritis involves the ________ whereas UTIs involve only the bladder, urethra and ureters

Answer 8

kidneys

Question 9

Uncomplicated or complicated UTI?

• Healthy, no underlying condition
• non-pregnant
• pre menopausal female
• intact/no anatomical abnormality urinary tract system

Answer 9

uncomplicated

Question 10

Uncomplicated or complicated UTI?

Male sex

Answer 10

complicated

Question 11

What is the course of abx for uncomplicated UTI

Answer 11

3 days

Question 12

What is the course of abx for complicated UTI

Answer 12

7-10 days

Question 13

Should you give FQs for UTIs?

Answer 13

There has been a push to not do it so try to avoid if there is a better option

Question 14

Meds you can use for UTIs?

Answer 14

Nitro, cipro, levaquin, bactrim, amox, cephelexin

Never call little babies a child

Question 15

Nitrofurantoin works in the _______ only

Answer 15

bladder

Question 16

Nitrofurantoin is a part of the _______ criteria and needs good ______ function to be metabolized

Answer 16

BEERs, renal

**Caution when giving to elderly

Question 17

What is the treatment for a pregnant women with UTI?

Answer 17

Amox and cephalexin 10-14 days are ok to use in pregnancy

“A Child!”