UTI Flashcards

1
Q

What are the 2 categories of UTI’s?

A

Uncomplicated and Complicated

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2
Q

: If a patient has a UTI and they are pregnant, diabetic, sxs x7 days, renal failure, have a catheter, have an anatomic abnormality of urinary tract, Hx of UTI’s in childhood, or are immunosuppressed – what type of UTI do they have?

A

Complicated

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3
Q

If a patient has bacteria in the urine, but lacks sxs of a UTI – what do they have?

A

Asymptomatic Bacteriuria

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4
Q

What are some common sxs we see with healthy outpatient UTI’s?

A

Dysuria, increased superpubic pain, increased frequency, urgency, and hematuria

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5
Q

What are the sxs we see in a hospital/elderly patient with a UTI?

A

Fatigue/Malaise, “mom’s not herself,” forgetfulness/confusion/disorientation (delirium), unsteady on feet, foul smelling urine, cloudy urine, elevated Cr or Acute renal failure

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6
Q

How do we obtain a clean urine for diagnosis?

A

Clean catch or straight cath. Sample

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7
Q

What do we look for on the UA for a UTI?

A

Leukocyte esterace

Nitrates (MOST PREDICTIVE OF AN ACTUAL UTI)

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8
Q

What would you find on labs that would indicate the UA is contaminated?

A

Squamous cell and/or mucous

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9
Q

When we order a UA what should always be ordered with it?

A

Culture and sensitivity (tells you what drugs can kill your bugs)

**Follow them until they are finalized

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10
Q

If a patient has diabetes with worsening abdominal pain, fatigue, and malaise with a Temp of 101 – what should be on our DDx list?

A

UTI

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11
Q

If the UA comes back with leuk’s but no nitrates and squamous cell are present – what diagnosis do you think?

A

Asymptomatic Bacteriuria → AKA NOT a clean catch with squamous cells and mucous

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12
Q

What Abx are POOR choices for a complicated UTI?

A

Bactrim and Macrobid

*Lots of drug resistance AND renal toxic properties

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13
Q

What are recommended Abx for a complicated UTI?

A

Floroquinolone or Ceftriaxone

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14
Q

What should we always remember with regards to UTI’s?

A

Expect the unexpected = VRE, ESBL, MRSA

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