UTI Flashcards
1
Q
UTI definition
A
symptomatic + positive culture/dipstick
2
Q
Urethral syndrome
A
symptomatic but no bacteriuria
3
Q
Classification of UTI
A
- Uncomplicated - normal GU tract
- Complicated- abnormal GU tract, obstruction, decreased renal function etc..
- Recurrent - new organism
- Relapse - same organism
4
Q
Pyelonephritis symptoms
A
Fever
Loin pain
Vomiting
Oliguria
5
Q
Cystitis symptoms
A
Frequency/urgency Polyuria Haematuria Dysuria Suprapubic tenderness Foul smelling urine
6
Q
Prostatitis symptoms
A
Flu-like symptoms
Low backache
Dysuria
Tender swollen prostate on PR
7
Q
Sterile pyuria definition
A
Increased white cells in urine but no bacteria
8
Q
Sterile pyuria causes
A
TB Treated UTI Appendicitis Calculi Papillary necrosis Polycystic Kidney Chemical cystitis (e.g. cyclophosphamide)
9
Q
UTI risk factors
A
Female Sex Pregnancy Menopause Diabetes mellitus Abnormal tract: stone, obstruction, catheter, malformation
10
Q
UTI organisms
A
E. coli
Staphylococcus saprophyticus
Proteus (alkaline urine → struvite renal stones)
Klebsiella
11
Q
UTI investigations
A
Dipstick
Midstream urine for microbiology
Bloods: FBC, U+E, blood cultures (if systemic signs)
US: children, men, recurrence, pyelonephritis
12
Q
Cystitis treatment
A
Treat for 3-6 days Trimethoprim Nitrofurantoin (not in Renal Failure) Cefalexin (good in Renal Failure) Co-amoxiclav
13
Q
Pyelonephritis treatment
A
Cefotaxime for 10 days
No response: Augmentin + gentamicin
