Urinary Tract Infection (UTI) Flashcards

1
Q

What are the risk factors of a UTI?

A
  • Female-shorter urethra
  • Sex-spread bacteria around perineum
  • Immunocompromised-Diabetes
  • Long term catheter
  • Pregnancy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the main bacterial cause of UTI?

A

E.coli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the other causes of UTI?

A
  • Staph saprophyticus

* Klebsiella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the 2 types of UTI?

A

Complicated

Uncomplicated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is an uncomplicated cause of UTI?

A

Young, sexually active females

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is a complicated UTI?

A

Everyone else

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When would you suspect a UTI?

A
  • Very old: incontinence and off their feet

* Very young: unwell and failure to thrive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How does a UTI present in children?

A

Strong smelling urine

Irritable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How does a UTI present in eldery?

A

Confusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How does acute pyelonephritis present?

A
  • High fever, rigors
  • Vomiting
  • Loin pain
  • Haematuria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How does cystitis and proctitis present?

A
  • Frequency and urgency
  • Dysuria
  • Suprapubic pain
  • Confusion in elderly
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What investigations are carried out to diagnose a UTI?

A

Urine dipstick

MSSU

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What would you look for on a urine dipstick?

A

Nitrites

Leukocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What would you look for with MSSU to diagnose a UTI?

A

Bacteria greater than 105 or

Bacteria greater than 102 and pyrexia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the management of cystitis?

A

Trimethoprim (ciprofloxacin or co-amoxiclav)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How many days is trimethoprim given for to children and men?

A

7 days

17
Q

How many days is trimethoprim given for a woman?

A

3 days

18
Q

How do you treat pyelonephritis?

A

Broad spectrum cephalosporin (main)
Quinolone
Gentamicin
(for non-pregnant women)

19
Q

How do you treat proctitis?

A

Ciprofloxacin

20
Q

How do you manage a UTI in a pregnant woman?

A

Nitrofurantoin- avoid at end of term

Amoxicillin or cefalexin- safest always

21
Q

Which drug is safe in the third term but should generally be avoided?

A

Trimethoprim- teratogenic in first term