L48 Flashcards
Symptoms of cystitis
= bladder infection
Dysuria = pain peeing
Frequent small pees
First line treatment for cystitis
TMP-SMX
Nitrofurantoin
Symptoms of pyelonephritis
= infection of renal pelvis & kidney Fever Leukocytosis Flank pain (!!!! unique!) Costo-vertebral angle tenderness LOOK SICK - present worse than cystitis
Treat pyelonephritis
Need cultures for susceptibilities
1. Fluoro
2. TMP-SMX
Fluoro resistance = IV ceftriazone or gent
Which patient population should ALWAYS be treated if bacteriuremic and asymptomatic?
Pregnant women!!
Associated with pre-mature labor & underweight babies
Top 3 bacteria causing acute uncomplicated cystitis
E.coli
Staph sapro
Kleb
What is LUTS
Lower urinary tract symptoms - symptoms of cystitis
- Dysuria
- Frequent, small peeds
- Urgency
How do you test for acute cystitis
Urine dip
Urine analysis - increased nitrites indicates E.Coli
Top 3 bacteria causes pyelonephritis
E.Coli
Kleb
Staph sapro
Which antibiotics increase risk of developing pyelonephritis?
Cephalo & fluoro
Diagnostic test for pyelo
Urinalysis
- Leukocyte esterase
Urine culture
What question is important to remember when considering pyelo treatment options?
Fluoro resistance in the community greater or less than 10%
If YES:
- Sick patients get initial IV dose + PO beta lactam
IV ceftriaxone + PO cipro
