UTI

Question 1

Uncomplicated UTI
Complicated UTI
Recurrent UTI

Answer 1

Uncomplicated UTI - Healthy individuals w/o structural / neurological abnormalities
Complicated - Associated with factors that compromise UTI/Host defences
Recurrent UTI -2 in 6months / 3 in 12 months

Question 2

Non Antibiotic UTI prophylaxis

Answer 2

Cranberry products - acidify urine
Topical Oestrogens - Improve vaginal flora + pH
Hipprex (methenamine hippurate) - Hydrolyes to formadehyde in urine. Reduction in symptomatic UTIs,
Vaccines (Uro Vaxom, Uro Vac ) - Active bacterial lysates of E Coli

Intravesical Treatment - GAG Layer Replacement. Hyacyst, Cystistat etc.

Question 3

Urethritis:
Organisms
Diagnosis
Treatment

Answer 3

Organisms - Gonorrhea, Chlamydia, Trichomona vaginalis
Diagnosis - Urethral Swab, Test for other STIs
Treatment:
Gonorrohea - Ceftriazeone / Azithrombycin / Cipro Stat
Non - gonorrhoea - Azithro / Doxi

Question 4

Urethritis:
Organisms
Diagnosis
Treatment

Answer 4

Organisms - Gonorrhea, Chlamydia, Trichomona vaginalis
Diagnosis - Urethral Swab, Test for other STIs
Treatment:
Gonorrohea - Ceftriazeone / Azithrombycin / Cipro Stat
Non - gonorrhoea - Azithro / Doxi

Question 5

Prostatitis
Classification
Symptom Index?

Answer 5

i) Classification
NIDDK Classification
I - Acute Bacterial
II - Chronic Bacterial
III - Chronic pelvic pain (abacterial)
IV - Asymptomatic inflammatory

ii) NIH CPSI (Chronic Porstatis Symptom Index)
- Measures 3 domains - pain / LUTS/ QOL

Question 6

Eipidydmo-orchitis
Types/Groups
Ix
Treatment

Answer 6

<35.- STI (Cipro + Doxi)
Elderly - Gram-ve (Assess LUT)
Mumps Orchitis (Check vaccine status)

Ix - Urine Culture, Urethral Swab, Send for NAAT, Assess LUTs/ FR + PVR,

Rc - Cipro +/- Doxi for 2 weeks (Doxi if suspected UTI). Scrotal elevation, NSAIDs