UTI

Question 1

WHAT IS A UTI ?

Answer 1

Infection of the urinary tract caused by bacteria entering urethra

Question 2

3 Types of UTI

Answer 2

1. Upper UTI
2. Lower UTI
3. Recurrent UTI

Question 3

What is lower UTI ?

Answer 3

Infection in the bladder + urethra

Question 4

what is an upper UTI ?

Answer 4

Infection of kidneys and ureters

Question 5

Symptoms of UTI

Answer 5

1. Dysuria (pain/burning stinging when peeing)
2. Nocturia (frequent urination at night)
3. Haematuria (blood in urine)
4. Urgency
5. Increased frequency urinating
6. Tender / pain in Abdomen
7. Cloudy/offensive smelling Urine

Question 6

Management

Answer 6

1. Advise on self care - Stay hydrated , wipe front to back , avoid cranberry alkalizing products / don’t delay urination.
2. Medication = Antibiotics , dependent on severity - Send urine sample off for testing.

Question 7

Drug treatment for UTI

Answer 7

1st Line - Trimethoprim ( 200 mg - bd) / Nitrofurantoin 50mg - qds)

Amoxicillin

Question 8

How long is UTI treatment typically

Answer 8

3 days

Question 9

If symptoms of UTI do not improve within 3 days what can you do?

Answer 9

Try modified released of nitrofuranatoin for 3 days (100mg) 2x
or Penecillan or Fosmycin - 1 dose.

Question 10

UTI is children symptoms

Answer 10

High temperture + 38'C
vomiting 
lethargy 
Jaundice 
Poor feeding

Question 11

Cause of UTI in Kids

Answer 11

Bacteria entering urethra

Question 12

What makes kids more vulnerable to UTIs ?

Answer 12

1. Constipation

2. Dysfunctional elimination syndrome - Holding urge to pee

Question 13

Treatment for UTI in kids ?

Answer 13

Babies <3 months admitted to hospital to be given IV treatment.
AB treatment

Question 14

What other cause to consider if px comes in with UTI like symptoms ?

Answer 14

PYELONEPHRITIS - TYPE OF UPPER UTI (infection of kidneys)

Question 15

Symptoms of pyelonephritis ?

Answer 15

1. Loin Pain
2. Fever + chills
3. Rigor
4. Tenderness of flank/groin
5. Frequency of dysuria

Question 16

Drug treatment of acute pyelonephritis

Answer 16

1st line = broad spectrum cephlosporin or quinoline Antibiotic.

• admitted to hospital