lower urinary tract infection Flashcards
1
Q
presentation of lower urinary tract infection
A
dysuria
suprapubic pain
frequency
urgency
incontinence
haematuria
2
Q
what to note on an urine dip in LUTI
A
nitrites- gram neg (e.coli) break down nitrates
leukocytes
microscopic haematuria
3
Q
when to do a MSU
A
pregnant patients
patients with recurrent UTIs
atypical symptoms
symptoms don’t improve with abx
4
Q
causes of LUTI
A
e.coli- gram neg, anaerobic, rod shaped
also kleb pneumoniae
5
Q
management of LUTI
A
trimethoprim
nitrofurantoin (avoid in patients with eGFR <45)
6
Q
management of LUTI in pregnancy
A
requires 7 days
nitrofurantoin (not in third trimester)
amoxicillin
cefalexin
trimethoprim avoid in first trimester