Lower uti

Question 1

Name 5 presentation of lower uti

Answer 1

Haematuria, Frequency, dysuria, urgency, incontinence, Suprapubic pain, confusion

Question 2

Common microorganisms associated and their gram + apparence

Answer 2

E.coli - gram -ve baccillus
Klebsiella pneumoniae -> gram -ve, anaerobic, rod shaped

Question 3

What circumstances should nitrofurantoin be avoided

Answer 3

eGFR of <45
Third trimester

Question 4

Other alternatives for Abx (3)

Answer 4

Amoxicillin
Cefalexin
Privemeciilinam

Question 5

what is cystitis and urethritis?

Answer 5

Cystitis - bladder infection
Urethritis - infection of urethra

Question 6

What iX findings is more likely for UTI

Answer 6

+ve for:
nitrite or leukocytes
and BLOOD

Question 7

What is meant by recurrent UTI

Answer 7

2 episodes in 6 months
OR
3 in 12 months

Question 8

How long to u treat men w lower UTIs and w what

Answer 8

Nitrofurantoin for 7 days

Question 9

Asymptomatic bacteriuria in preganamt women - treat or not treat?

Answer 9

Treat w Abx, send MSU. Risk of pyleonephritis
associated with foetal loss, preterm delivery and low birth weight

Question 10

Urine dipstick should not be used for diagnosis of UTI in WHO? And what Ix do use instead

Answer 10

1. Women >65
2. Men
3. Catheterised patients

Urine culture

Question 11

23 year old women
24hr hx dysuria, visible haemturia + general malaise.
O/E soft abdomen w mild suprapubic tenderness. No renal angle temderness + bowel sounds normal.

TX?

Answer 11

Oral abx + MSU ( for all women sus of UTI w or w/o visible haemturia)