UTI

Question 1

Why are females more predisposed to UTI’s than males?

Answer 1

Females have a larger urethra allowing for bacteria to easier travel into the urinary system

Question 2

T/F: acidic urine favors bacterial growth

Answer 2

FALSE- alkaline urine favors bacterial growth

Question 3

T/F: dilute urine favors bacterial growth

Answer 3

TRUE

Question 4

T/F: presence of glucose in urine favors bacterial growth

Answer 4

TRUE

Question 5

What is the structure in the bladder wall that keeps bacteria from binding to the wall?

Answer 5

Glycosaminoglycans

Question 6

What are some bacterial enzymes that help bacteria thrive in environments?

Answer 6

Hemolysin and urease

Question 7

What is the most common infectious isolate in urinary system?

Answer 7

E. coli

Question 8

What is the next most common bacterial isolate found in UTI?

Answer 8

Gram + cocci- staph/strep (normal skin flora)

Question 9

What is the most common route of UTI?

Answer 9

Ascending UTI most common

Question 10

What are your drugs of choice for UTI?

Answer 10

Amoxicillin, cephalosporins, TMS

Question 11

Fluffy comes in with a UTI (E. coli isolate found)- you start her on a round of antibiotics for 4 weeks. Seven days after the end of the Ab treatment- Fluffy is C&S positive for Staph spp. What is this considered?

Answer 11

Reinfection- C&S positive > 7 days after last treatment

Question 12

Fluffy comes in with a UTI (E. coli isolate found)- you start her on a round of antibiotics, 7 days into the treatment regimen- Fluffy is C&S positive for Staph spp. What is this considered?

Answer 12

Superinfection- C&S positive at day 7 after starting Ab

Question 13

Why are antibiotics given at night?

Answer 13

Your typical Ab that are used- Amoxicillin, cephalosporin and TMS are excreted through the bladder. SO if given at night- it gives the Ab time to sit in the bladder and start working