UTI

Question 1

M/C causative organism of UTI

Answer 1

E coli

Question 2

M/C organism of prostatitis

Answer 2

Gm-ve bacilli (enterobacteria : Ecoli, pseudomonas, proteus)

Question 3

Management of prostatitis

Answer 3

Fluoroquinolones for: 4 weeks if acute, 6 weeks if chronic

Question 4

Tx of acute uncomplicated cystitis

Answer 4

Nitrofurentoin dvery 12 hr for 5 days

Question 5

Tx of pyelonephritis

Answer 5

Oral fluoroquinolones every 12 hr for 7 days

Question 6

Tx of acute uncomplicated cystitis in males and non pregnant females

Answer 6

• Trimethoprim PO
or
• Nitrofurantoin PO

Question 7

Tx of acute uncomplicated cystitis in pregnant females

Answer 7

Nitrofurantoin PO
or
• Cefalexin PO
or
• Trimethoprim PO (only in 2nd and 3rd trimester)

Question 8

Tx of acute pyelonephritis in males or non pregnant females

Answer 8

Fluoroquinolones PO
Or
3rd cephalosporines IV then PO

Question 9

Tx of acute pyelonephritis in pregnant females

Answer 9

• Ceftriaxone IV
or
• Cefotaxime IV
or
• Ampicillin IV + gentamicin IV

Question 10

Tx of candida albicans UTI

Answer 10

fluconazole

Question 11

Management of asymptomatic bacteriuria

Answer 11

• Do NOT treat asymptomatic bacteriuria except in cases of pregnant female
• Pregnant female with asymptomatic bacteriuria → treat as uncomplicated lower UTI (cystitis)

Question 12

Management of catheter induced bacteriuria

Answer 12

• Treatment is generally only required if significant local symptoms or systemic upset (fever, vomiting)
• Start antibiotics and remove the catheter whenever possible

Question 13

What is the test used for confirmation of UTI

Answer 13

Nitrite test