UTI

Question 1

what % of asymptomatic & untreated UTI in pregnancy progress to pyelo?

Answer 1

20-30%

Question 2

what side does a pyelo occur 75-80% of the time?

Answer 2

right

Question 3

common ddx for males?

Answer 3

prostatitis –> perform DRE (C&G)

Question 4

how long does it take post void for nitrates to be present on u/a?

Answer 4

4 hours

Question 5

if recurrent postcoital uti:

Answer 5

consider prophylaxis

Question 6

if no improvement in _____ consider changing abx (or IV abx in pyelo)

Answer 6

48 hours

Question 7

in ped’s, how many UTI’s warrant investigation for vesicouteric refelux or obstruction?

Answer 7

females 2
males 1
–> urology

Question 8

1st line complicated UTI or pyelo?

Answer 8

cefixime X 10 days
cipro X 7 days
septra X 10 days

Question 9

1st line uncomplicated UTI

Answer 9

macrobid X 5 days
septra X 3 days
fosfomycin X 1 dose!!

macrobid & fosfomycin do not penetrate kidneys, use only for lower UTI

Question 10

phenazopyridine

Answer 10

100-200 mg TID for 1-2 days ONLY if given w/ abx to reduce symptoms while abx kick in. will turn urine orange

Question 11

prophylaxis for atrophic vaginitis

Answer 11

PV estradiol