Urinary Tract Infection (UTI)

Question 1

Causes?

Answer 1

E. coli, proteus, klebsiella, s. faecalis, pseudomonas

Question 2

Which cause are common in in-patients/catheterised?

Answer 2

pseudomonas

Question 3

Lower UTI features?

Answer 3

dysuria, frequency, haematuria, suprapubic discomfort, urgency

Question 4

Upper UTI features?

Answer 4

systemic features, loin/back pain, vomiting, rigors, preceding cystitis, shock/sepsis

Question 5

Investigations?

Answer 5

urinalysis – haematuria, proteinuria, leucocytes, nitrites. MCS – leucocytes, WBC casts +
Bloods: U&E, FBC,
Blood Cultures
USS for upper UTI

Question 6

Drug Mx of lower UTI in pregnant women with symptomatic bacteriuria?

Answer 6

7 days course of nitrofurantoin (trimethoprim only after 12 weeks)

Question 7

Drug Mx of lower UTI in asymptomatic pregnant women ?

Answer 7

7 day course of trimethoprim/nitrofurantoin + 2 urine culture before Abx and 1 after

Question 8

Drug Mx of lower UTI in non-pregnant women?

Answer 8

Trimethoprim or nitrofurantoin for 3 days

Question 9

Drug Mx of lower UTI in men?

Answer 9

2 week course of trimethoprim or nitrofurantoin

Question 10

Drug Mx of LUTI if catheterised?

Answer 10

ciprofloxacin or co-amoxiclav 7 days

Question 11

Mx of Upper UTI?

Answer 11

Hospital admission
IV antibiotics: gentamicin bolus
Oral antibiotics: cefuroxime (ceph.) or quinolone (e.g. ciprofloxacin)