Infectious Diseases II: UTI Flashcards

1
Q

Common symptoms of cystitis

A
Dysuria
urgency, frequency
burning 
nocturia
hematuria (blood in urine)
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2
Q

Symptoms of pyelonephritis

A

Flank pain
abdominal pain
fever
n/v

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3
Q

“Positive” urinalysis

A

pyuria
+ leukocyte esterase or WBC > 10
bacteruria

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4
Q

Common pathogens for uncomplicated cystitis

A

E. coli (most common)
Proteus
Klebsiella
enterococcus

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5
Q

preferred antibiotics for uncomplicated cystitis

A

Nitrofurantoin 100 mg BID x 5 days
Bactrim DS BID x 3 days (avoid in areas with high resistance rates of E. coli)
Fosfomycin 3 g x 1 dose

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6
Q

Alternative treatment for uncomplicated cystitis

A

cipro 250 mg BID x 3 days
Levofloxacin 250mg daily x 3
Beta lactam (Augmentin, oral cephalosporin) x 3-7 days

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7
Q

Preferred outpatient treatment for uncomplicated pyelonephritis

A

Cipro 500 mg BID x 7
Levofloxacin 750 mg x 5
Consider 1 dose of ceftriaxone if FQ resistance is high
Bactrim DS x 14 days
Amox/clav, cefdinir, cefaclor, cefpodoxime x 10-14 days

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8
Q

Inpatient treatment for uncomplicated pyelonephritis

A

Ceftriaxone
Ampicillin + gent
cipro or levofloxacin
ZOsyn

treat for total of 14 days

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9
Q

Complicated UTIs are treated differently than pyelonephritis (t/f)

A
False 
use same drugs as uncomplicated pyelo
ESBL +: use carbapenem 
Treat for 7 days if prompt response 
10-14 days if delayed response
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10
Q

When is UTI prophlyaxis appropriate?

A

3+ epsiodes in 1 year

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11
Q

Agents used for UTI prophylaxis

A

Bactrim ss daily
Nitrofurantoin 50 mg daily
Bactrim DS taken after sex

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12
Q

Asymtomatic bacteruria must be treated in all pregnant women (t/f)

A

TRUE
if untreated can lead to premature birth
usually beta lactam is used for 3-7 days

Nitrofurantoin and Bactrim can be used if severe b-lactam allergy is present

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13
Q

Urinary analgesic used for UTI’s

A

Phenazopyridine (pyridium, Azo)

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14
Q

Dose of phenazopyridine

A

200 mg TID x max of 2 days
take with or right after meal
causes stomach upset, HA, dizziness, change urine and other body fluids orange-reddish

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