Trigger - UTI Flashcards
true or false:
women and children with over 100,000 colony counts/mL should always be screened for bacteriuria
FALSE
if asymptomatic it is recommended to NOT screen them
Infected stones, fistulas, foreign bodies, and prostatitis are all things that could cause what condition
persistent bacteriuria
(just think about how something is in there that is the source of the bacteria, it wont be clean til you get it out!)
abnormal voiding, intrinsic renal disease and decreased renal blood flow are all risk factors for what?
UTI
also included:
abnormal urine pH/osmolality, deficient mucosal coating
deficient mucosal coating and abnormal urine pH or osmolality are risk factors for what?
UTI
also included:
abnormal voiding, intrinsic renal disease and decreased renal blood flow
this condition is rare in men
acute cystitis
gross hematuria, irritative voiding, suprapubic pain and malaise
acute cystitis
PE shows suprapubic tenderness
acute cystitis
no imaging or UA is needed in acute cystitis unless…. what?
imaging - if male, to see underlying cause
UA - if s/s of systemic illness or risk for drug resistance
give 1st, 2nd and 3rd line treatments for acute cystitis (i know im sorry, but its good for you)
1st:
-nitrofurantoin
-bactrm or trimethoprim
-fosfomycin
2nd:
-augmentin
-cefdinir
-cephalexin
3rd:
-cipro or levo
when is phenazopyridine used
used as a urinary analgesic (helps with pain when peeing)
also used:
methenamine
when is methenamine used
used as a urinary analgesic (helps with pain when peeing)
also used:
phenazopyridine
CI in renal insufficiency
phenazopyridine and methenamine
SE includes dizziness, HA, GI cramps
Phenazopyridine
also see:
discolored urine
rare:
AKI, hemolytic anemia, methemoglobiinemia
rare SE includes AKI, hemolytic anemia, methemoglobinemia
phenazopyridine
this med is NOT for chronic/long term use and interferes with UA dip
phenazopyridine
this drug Metabolizes into formaldehyde and ammonia in urine
methenamine
CI in renal/liver insufficiency and severe dehydration
methenamine
DDI is sulfanamides
methenamine
SE include rash, nausea and dyspepsia
methenamine
also:
rare - Elevated LFTs
rare SE includes elevated LFTs
methenamine
what should be considered in women who have 3+ UTIs in a 12 month period?
pharm preventative measures with Coitus
can take:
bactrim/trimethoprim
cephalexin
methenamine
nitrofurantoin
presents with fever, chills, NVD and flank pain
pyelonephritis
also included:
irritative voiding, suprapubic pain, +/- gross hematuria
tachycardia and fever suggests what diagnosis
acute pyelonephritis
also see:
CVA tenderness
CVA tenderness suggests what dx
acute pyelonephritis
also see:
tachycardia
fever
labs show leukocytosis with left shift, WBC casts and bacteriuria
acute pyelonephritis
also see:
hematuria
pyuria
urine culture +
maybe + blood culutre
treat w/ levo, cipro, bactrim or augmentin outpatient
acute pyelonephritis
DO NOT USE nitrofurantoin or oral fosfomycin
acute pyelonephritis
ceftriaxone, pip/taz, amp/gent, flouroquinolones are all treatment options for what
inpatient acute pyelonephritis with NO risk factors for MDR G- bacteria
adding on vanc, linezolid or daptomycin is treatment protocol for what
inpatient acute pyelonephritis with risk factors for MDR gram POSITIVE bacteria
imipenem, meropenem, or doripenem are used in treatment of what
inpatient acute pyelonephritis with 1+ risk factors of MDR G NEGATIVE bacteria
IV cephalosporin + BL inhibitor is used in the treatment of what
inpatient acute pyelonephritis with 1+ risk factors of MDR G NEGATIVE bacteria that is HIGH RESISTANCE
urethral discharge with pain/pruritus at urethral meatus and irritative voiding is seen in what
acute urethritis
UA showing WBC esterase, pyuria and hematuria
acute urethritis
