Microbiology Flashcards

1
Q

Define a UTI

A
  • presence of microorganisms in the urinary tract

- causing clinical infection

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2
Q

Where do Lower UTI affect

A
  • bladder
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3
Q

Where do upper UTI affect

A
  • ureters

- kidney

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4
Q

Bacteriuria?

A
  • bacteria present in urine

- doesn’t always mean infection

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5
Q

Lower end of urethra is colonised by?

A
  • bacteria
  • coliforms
  • enterococci
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6
Q

Why are females at higher risk of UTI

A
  • Shorter urethra
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7
Q

Route of infection of UTI?

A
  • Ascending routes

- haematogenous route

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8
Q

Most common coliform that can cause UTI

A
  • E.coli
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9
Q

Explain E.coli

A
  • Gram negative

- bacilli

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10
Q

Name some e.coli virulence factors

A
  • endotoxin
  • fimbriae
  • o antigen
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11
Q

Foul smelling urine bacteria?

A
  • proteus

- produces urease

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12
Q

What bacteria may cause kidney stones?

A
  • proteus

- salt precipitation

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13
Q

What is the treatment of pseudomonas aeruginoasa

A
  • ciprofloxacin
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14
Q

Honeymoon UTI?

A
  • S. saprophyticus
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15
Q

Symptoms of UTI

A
  • Dysuria
  • frequency
  • haematuria
  • fever
  • loin pain
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16
Q

Nitrates on dipstick may be due to?

A
  • bacteria
17
Q

Do not dip stick elderly urine?

True or false

A
  • true
18
Q

Treatment time of antibiotics for uncomplicated UTI in males and females?

A
  • females = 3 days

- males = 7days

19
Q

Antibiotic of choice for uncomplicated UTI

A
  • Trimethoprim

- nitrofurantoin (lower UTI)

20
Q

Treatment time in a UTI in catheter time?

A
  • 7 days
21
Q

Should you take a sample of urine from Catheter in suspected UTI

A
  • no

- clinical diagnosis

22
Q

Treatment of a complicated UTI or pyonephritis in community

A
  • co-amoxiclav

- 7 days

23
Q

Treatment of complicated UTI or pyelonephritis in hospital?

A
  • amoxicillin and gentamicin

- 7 days

24
Q

How is gentamicin given?

A
  • IV in hospital

- 3 days max

25
Q

Why isn’t nitrofurantoin given in pyelonephritis?

A

o Not nitrofurantoin as doesn’t concentrate in the kidneys

26
Q

What UTI antibiotic should be avoided in first trimester of pregnancy?

A
  • trimethoprim
27
Q

What antibiotic should be given in first trimester pregnancy UTI

A
  • Nitrofurantoin