Urinary Tract Infections

Question 1

Bacteriuria

Answer 1

any growth on catheter w/ sx; > 10E3 CFU w/ sx or catheter; > 10E5 CFU in asx

Question 2

Positive urinalysis

Answer 2

Bacteriuria, leukocyte esterase (+), nitrate (+), pyuria

Question 3

Complicated UTI Definition

Answer 3

infection in males or pt w/ structural GU abnorms

Question 4

ASx Bacteriuria When to Treat

Answer 4

prego, urologic surg, neutropenic, renal transplant

Question 5

Lower UTI (cystitis) Sx

Answer 5

dysuria, frequency, urgency, suprapubic tenderness

Question 6

Upper UTI (pyelonephritis) Sx

Answer 6

flank PA, fever, n/v; severe: dehydration, s/s of sepsis

Question 7

Catheter-assoc UTI Sx

Answer 7

fatigue, chills, confusion, suprapubic tenderness

Question 8

UTI Sx in Elderly

Answer 8

AMS, profound weakness, frequent falls, change in eating, GI sx

Question 9

Pyuria

Answer 9

WBC > 10/mm3

Question 10

UTI Pathogens

Answer 10

Enterobacter, E. coli, Kleb, Proteus, Pseudo aeruginosa, S. saprophyticus

Question 11

Uncomplicated UTI Tx

Answer 11

Bactrim (susp > 80%), cephs (cephalexin, cefpodoxime, cefdinir), nitrofurantoin, FQs (2nd line); for 3-5 days

Question 12

Complicated UTI Tx

Answer 12

Bactrim (susp > 80%), cephs (cephalexin, cefpodoxime, cefdinir, cefazolin;), nitrofurantoin, FQs (2nd line) for 7-14 days

Question 13

Pyelonephritis UTI Tx

Answer 13

IV: ceftriaxone, PO: FQ, Bactrim, Cefpodoxime; for 7-14 days

Question 14

CA-UTI Tx

Answer 14

ertapenem, ceftriaxone, FQs; for 7-14 days

Question 15

Severe UTI Tx

Answer 15

cefepime; PCN all: aztreonam +/- gent

Question 16

Urosepsis Tx

Answer 16

ceftriaxone, cefepime, FQ, zosyn (tubes); for 7-14 days

Question 17

UTI in Males Tx

Answer 17

FQ, Bactrim, duration: 7-14 days, 4-6 wks in prostatitis

Question 18

UTI in Pregnancy Tx

Answer 18

Augmentin, cephalosporin, nitro, fosfomycin

Question 19

Abx to Avoid Pregnancy

Answer 19

tetracycline, FQ, Bactrim (in 3rd trimester)

Question 20

Enterococci UTI Tx

Answer 20

faecalis: ampicillin, amoxil; faecium: nitro, fosfomycin, linezolid, vanc (if suspect); for 5-7 days