Midterm2 Flashcards
Honey mooner
Staphylococcus Saprophyticus
Most common UTI pathogen
E.Coli
PEK
Most frequent risk factor for UTI
Sex
Inflammatory response to UTI
Pyuria (WBC in urine) local
Fever, leukocytosis
UTI presentation
Pain, urgency, supra public pain or heaviness
Hematuria (blood in urine)
Change mental status in elderly
Pyuria w/asymptomatic bacteriuria do not indicate for _____, and not indicate for__________ treatment._________ must be present. Exception:______
UTI
ANTIBIOTIC
SYMPTOMS
pregnant with bacteriuria,
Traumatic genitourinary procedures anticipating mucosal bleeding
Acute cystitis
Infection of bladder
Pyelonephritis
Infection of kidney
Asymptomatic bacteriuria
Bacterial growth >= 10^5cfu/ml or >=10^2 in catheterized urine culture
With no symptom
WBC casts
Cylindrical structure formed in the renal tubule
Upper tract or tubules (possible pyelonephritis)
Pyuria
More than 10 WBC/mm3
Leukocyte esterase
Enzyme release by WBC
Positive test indicate for inflammation
Nitrite
Produced by enterobacteriaceae only
Positive test indicate bacteriuria
Uncomplicated acute cystitis 1st line
Nitrofurantoin 100mg PO BID x5
Bactrim PO BID x3
Fosfumycin 3G x1
Uncomplicated acute cystitis 2nd and 3rd line
FQs- minimize resistance x3days
Cipro/levo 250-500 PO
PO BL for 7days not as efficacious