UTI Flashcards
Pyelonephritis. Definition
Infection of upper urinary tract
Etiology
E. Coli
Enterobacter
Proteus
Symptoms
Fever! Chills Flank pain Nausea Vomiting Painful urination Gross hematuria
Diagnosis
Urinalysis (WBC cast, pyuria) Urine culture Blood culrure CBC US CT scan
Treatment
Ciprofloxacin 100mg iv every 12h if renal failure, 200mg if normal iv 250mg orally rf 500mg orally normal Levofloxacin 750mg po once pd Ampicillin 1-2g iv Cotrimoxazole Augmentin 1g bid
Prostatitis. Definition
Infection of lower urinary tract.
Prostatitis: Etiology.
E.coli
Enterobacter
Proteus
Pr. Symptoms
Painful urinarion
Low back pain(perineal pain)
Chills
Diagnosis
Urinalysis (wbc)
Urine & blood culture
CBC
US
Treatment
Fluoroquinolones + Doxycycline (4-6w) 100mg twice a day
Cystitis. Definition
Infection of bladder.
Etiology
E. Coli Enterobacter Enterococcus Proteus Klebsiella
Symptoms
Frequency Dysuria Urgency Suprapubic pain Gross hematuria
Diagnosis
Cystoscopy
Urinalysis (dipstick test -> for evidence of infection , postive nitrates, leukocyte esterase, pyuria
Urine culture
Blood culture
Treatment
Contrimoxazole 3days
Ciprofloxacin
Nitrofloatoin 5-7 days
Phenazopyridine 1-3 days for dysuria