microbiology

Question 1

how is a female lower UTI treated?

Answer 1

trimethoprim or nitrofurantoin orally (3 days)

Question 2

how is a UTI in an uncatheterised male treated?

Answer 2

trimethoprim or nitrofurantoin orally (7 days)

Question 3

how is a complicated UTI/pyelonephritis treated in the community?

Answer 3

co-amox or co-trimoxazole (14 days)

Question 4

how is a complicated UTI/pyelonephritis treated in hospital?

Answer 4

amox and gentamicin IV for 3 days (co-trimoxazole and gentamicin if penicillin allergic)

Question 5

what does trimethoprim do?

Answer 5

inhibits bacterial folic acid synthesis
avoid in first trimester

Question 6

when is nitrofurantoin avoided?

Answer 6

in late pregnancy, breast feeding and children <3 months old

Question 7

why are females more at risk of UTIs compared to males?

Answer 7

short, wide urethra
increased risk with sexual activity, pregnancy

Question 8

what is the most common cause of UTIs?

Answer 8

e coli