Urinary Tract Infections

Question 1

Asymptomatic bacteriuria

Answer 1

Presence of significant amount of bacteria in the urine but no symptoms consistent with UTI
Only requires treatment in specific circumstances (pregnant, undergoing invasive urologic procedures)

Question 2

Cardinal symptoms of an inflamed bladder

Answer 2

Increased urinary frequency
Pain (dysuria)
Urgency

Question 3

Signs and symptoms of UTI

Answer 3

Dysuria
Frequency and urgency
Hematuria
Suprapubic tenderness
Chills and sweats
Flank pain (costovertebral angle tenderness)

Question 4

5 indications for foley catheter

Answer 4

End of life care if a person wants it for comfort
AKI for post renal cause
Septic shock or severe critical illness where you require accurate input and output measures
Sacral/coccyx ulcers and tissue needs to be protected
Certain types of surgery

Question 5

Leukocyte esterase

Answer 5

Positive result means there is the presence of WBCs

Question 6

Nitrite

Answer 6

Positive test indicates the presence of bacteria that can produce nitrate reductase
Positive does not mean UTI though

Question 7

Empiric treatment for cystitis

Answer 7

Nitrofurantoin (5 days) or Fosfomycin (1 day)

Question 8

Empiric treatment of pyelonephritis

Answer 8

Initial parenteral: cefriaxone or gentamycin THEN
Oral therapy: cefixime or amox-clav or cipro or TMP/SMX
In the ER/hospitalized/septic: ceftriaxone or gentamycin

Question 9

Should you do a urine culture if they have

1. Cloudy or malodorous urine
2. Mental status change

Answer 9

1. No

2. No