Micro 7 Pyelonephritis/Cystitis Flashcards
Asymptomatic bacteriuria: Tx who?
- Preschool children (in case of vesicouretal reflux or congenital problems)
- Pregnant women
Cystitis Dx
Leukocyte esterase dipstick
-Nitrite test
Pyelonephritis Dx
Pyuria, fever
UTI cause
E. coli
Obstructive uropathy infection
Enterococci
Hemorrhagic cystitis in children
Adenovirus
Africa/Middle east cystitis and hematuria
Schistosoma haematobium
E. coli adherence mechanism
Type 1 pili or fimbriae
-(pathogenicity island)
Proteus virulence
Urease raises pH above 7.0
-Struvite stones
Community acquired UTI Tx
Nitrofurantoin
Nosocomial UTI Tx
Fluoroquinolone (ciprofloxacin)
Acute prostatitis Tx
Fluoroquinolone
Proteus Dx, Tx
Awesome looking colonies, struvite stones, urosepsis
-Fluoroquinolones
Staph saprophyticus Dx, Tx
Cystitis, gram stain and culture
-Penicillin
Gram+ diplococcus
Enterococcus faecalis