OnlineMedEd: Infectious Disease - "UTI" Flashcards
Dr. Williams separates UTIs into complicated and uncomplicated. Give the indications for each.
Complicated:
- Penis
- Plastic
- Procedure
- Pyelo
- Pregnant
Uncomplicated:
- Non-pregnant female
How long do you treat each type of UTI?
- Uncomplicated cystitis: 3 days
- Complicated cystitis: 7 days
- Pyelonephritis: 10 days
- Perinephric abscess: 14 days
Risk factors for UTI include ______________.
being female, age 18-25, and anal sex
A UA is said to be positive when what three things show up?
- Leukocyte esterase
- Nitrites
- Microscopy showing > 10 WBCs/hpf
Urethritis is almost always caused by ____________.
gonorrhea or chlamydia
G/C can be diagnosed by what two modalities?
- Swab
* Urine
List the two treatment regimens for G/C.
•Ceftriaxone IM x 1 and azithromycin PO x1
or
•Doxycycline po x 7 days
You should only screen for asymptomatic bacteriuria in pregnancy and _____________.
those undergoing urologic procedures
Unlike in most UTIs, __________ is used to treat UTIs in pregnancy.
amoxicillin
Other than dysuria, _______________ are classic symptoms of cystitis.
urgency and frequency
List the three first-line agents for uncomplicated and complicated cystitis.
- Bactrim
- Nitrofurantoin
- Fosfomycin
UA will often show _____________ in those with pyelonephritis.
casts
When should you culture urine?
- Pyelonephritis (to narrow treatment)
* When UA is negative but suspicion remains high
Review the treatments for pyelonephritis.
- Hospital (sicker patients): IV ceftriaxone
* Ambulatory (less sick patients): PO ciprofloxacin
In general, perinephric abscess is diagnosed with ________________.
a treatment for pyelonephritis that fails to improve
