Uti Flashcards
Lower UTI cystitis local symptoms
Dysuria Syria lower abdominal pain
Cloudy urine hematuria
Fever rigors loin pain hematuria
Pyelonephritis
Initial investigation of for a UTI
If it is uncomplicated UTI in a healthy female test, urine with site and nitrate dipstick
Went to request urine analysis, cultural, and sensitivity
Male child, pregnant female
C catheterization
Recurrent unresolved hematuria
Impaired renal function pyelonephritis
What is the management of UTI in primary care setting?
Symptomatic
Increase fluid intake
Oral antibiotic three days course for uncomplicated female
7 to 10 days Course for male or recurrent UTI
Void after sex
What is the management of babies less than three months with suspected UTI?
Referral
What is the management of UTI of a children more than three months?
Culture and sensitivity
Antibiotic antibiotics for three days for lower UTI
Antibiotics for 7 to 10 days for a UTI
Review to or one day if no improvement
Refersl
If no boy, and then no bacteria, no UTI
If there is bacteria start antibiotic
If with no bacteria but puouria start antibiotic, clinical features of UTI
How to put UTI in toddlers and infants
No specific symptoms, vomiting fever abdominal pain failure to thrive belong on this jaundice, but
In older children, normal UTI symptoms
Of fever more than 38 low in pain so it is upper UTI
Mention lower UTI, diagnosis, symptoms, and treatment in children
If babies are less than three months, refer to pediatric
If babies are more than three months with UTI with with red flags referred for emergency
Infant toddlers, not specific symptoms, vomiting, and fever abdominal
Older children, dysuria frequency hematuria in your
Antibiotic course for three days
Review for 24 to 48 hours if not improving referred to pediatric
How to put a symptomatic bacteria
Pure growth more than 105 organism per ml
How to treat asymptomatic bacteria
Culture and sensitivity one week oral antibiotic re-testing
What is the management in case of acute Pyelonephritis
Acute pyelonephritis is suggested by
flank pain, nausea and vomiting, fever
(> 38°C), or costovertebral angle tenderness
•Laboratory : dipstick is comparable to
microscopy and is recommended
•Take a midstream urine sample for culture and
begin a course of antibiotics.
•Ultrasound is recomended.
Family
•Consider hospitalisation for patients unable to
take fluids and medication or showing
signs of sepsis.
•Treat non-pregnant women with symptoms or
signs of acute UUTI with ciprofloxacin
(7 days) A third-generation oral cephalosporin,
such as cefpodoxime proxetil could be
an alternative or co- amoxiclav14 days