Urinary tract infections Flashcards
What is cystits?
lower UTI
What symptoms are common in cystitis?
- dysuria
- urinary frequency
- urgency
- supra-pubic pain
- polyuria/nocturia/haematuria
What is pyelonephritis?
upper UTI (infection of kidney and or renal pelvis)
What symptoms are common in pyelonephritis?
symptoms of lower UTI, with loin pain, fever
What is urethral syndrome?
symptoms of a lower UTI (dysuria etc.) but with no demonstratable infection
What is a significant bacteriuria?
10^5 cfu/mL
What is asymptomatic bacteriuria?
significant bacteriuria (with a single organism) but no symptoms of UTI
What is sterile pyuria?
pus cells in urine with no organisms grown
What can cause sterile pyuria?
- inhibition of bacterial growth
- ‘fastidious’ organisms
- urinary tract inflammation
Which organism causes 80% of UTIs?
E coli
What test would you do if you suspect urinary TB?
early morning urine (x3)
How would you treat cystitis in females?
don’t wait for test results to treat
-short course antibiotics (3 days)
How would you treat cystitis in males?
long course of antibiotics (7 days)
How would you treat pyelonephritis?
empiric therapy -cefuroxime, ciprofloxacin -piperacillin-tazobactam Targeted therapy -based on sensitivity results For 7-14 days
When would you treat asymptomatic bacteriuria?
- pregnant women
- infant
- prior to urological procedures
