UTI

Question 1

when would you consider acute pylonephritis

Answer 1

flank pain
vomiting
fever
costovertebral tenderness

Question 1

clinical features of acute cystitis

Answer 1

acute dysuria
frequency
urgency
suprapubic tenderness

Question 2

when to consider prostatitis

Answer 2

fever
obstructive urinary symptoms
prostate tenderness of DRE

Question 3

investigations

Answer 3

start empirical therapy for non-pregnant women with acute cystitis and no complications.
bHCG
In other patients, get:
urinalysis
Urine MC&S

Question 4

non antibiotic therapy

Answer 4

panadol and NSAIDs
safety and efficacy of urine alkalinising agents have not been established

Question 5

do you need antibiotics for uncomplicated UTI in uner 65 non-pregnant

Answer 5

women treated sympomatically without antibiotic therapy become symptom free within 1 week
without antibiotic, risk of acute pylonephritis or sepsis is low but may be reduced with antibiotics

Question 6

why do you treat asymptomatic bacteriuria in pregnancy

Answer 6

associated with a 20-30% increased risk of developing pylonephritis later in pregnancy
associated with preterm birth and low weight
screen for this by obtaining a urine sample and confirm with culture