[UTI] Flashcards
Cystitis (bladder)
Prostatitis (prostate)
Urethritis (urethra)
Pyelonephritis (renal pelvis)
> 10^5 colony forming bacteria /mL fresh urine
abnormal renal/GU tract voiding difficulty/obstruction reduced renal function immunocompromised virulent organism involved
normal renal/GU tract
normal function
Spermicide (on diaphragm/in condoms)
Females - shorter and more exposed GU tract
Pregnancy
Menopause
Stones/obstruction
Anatomical malformation
catheter (almost always = infection)
Escherichia Coli
e.coli
Proteus Mirabilis
Klebsiella Pneumonia
Staph. Saprophyticus
Proteus Mirabilis
Klebsiella Pneumonia
Staphlococcus Saprophyticus
loin pain
fevers
rigors
loin pain/tenderness
fevers
rigors
suprapubic pain
urinary: urgency dysuria frequency haematuria
Low backache
flu like
enlarged/tender prostate
Symptoms
+
Nitrites/leukocytes in urine
MSU for MC&S
20
> 20WBC/mm^3
no organisms grown
TB
Partially treated UTI fastidious culture requirement Bladder Ca. Polycystic kidney Tubulointerstitial nephritis Papillary necrosis Caliculi Appendicitis
analgesic excess
DM
Cranberry
Lingo berry juice
Drink more water
antibiotic prophylaxis post-coital/as soon as symptoms start
sterile pyuria
ESR/CRP raised
HIV+
No (38%)
Trimethoprim 200mg/12h PO
or
Nitrofurantroin 50mg/6h PO
Cefalexin
500 SBAs
Trimethoprim 200mg/12h PO
or
Nitrofurantroin 50mg/6h PO
Get help if unresponsive
co-amoxiclav 1.2g/8h IV