UTI

Question 1

Acute uncomplicated cystitis organisms

Answer 1

E. Coli
S. Saprophyticus
Klebsiella, Proteus, enterococcus, citrobacter

Question 2

Complicated UTI or CAUTI organisms

Answer 2

E coli still predominates 
But also think of paeudomonas, 
Kelbsiella proteus citrobacter acinetobacter
Gram positives (enterococci and stap aureus)

Question 3

Hematogenous spread of UTI

Answer 3

<2%
Salmonella and staph aureus
Candiduria—> hematogenous route is more common

Question 4

Emphysematous pyelonephritis

Answer 4

Production of gas in perinephric tissue

almost exclusively in diabetics

Question 5

Xanthogranulomatous pyelonephritis

Answer 5

Suppurative destruction of the kidneys

Chronic infection with chronic urinary obstruction

Question 6

Fever is main feature
High spiking picket fence fever
Resolves within 72 hrs

Answer 6

Pyelonephritis

Question 7

Meares-Stamey test

Answer 7

Urine collection after prostate massage

Differentiate bet bacterial and non bacterial prostatic syndromes

Question 8

Culture diagnosis for uncomplicated symptomatic cystitis in WOMEN?
In MEN?

Answer 8

> 10^2 bact/mL -women

> 10^3 -men

Question 9

Culture diagnosis for ASYMPTOMATIC BACTERIURIA

CAUTI

Answer 9

10^5

10^2- CAUTI

Question 10

Treatment of uti in men

Answer 10

7-14 days of fluiroquinolones and tmp-smx (if susceptible) because prostate often involved

Question 11

Treatment duration in chronic bacterial prostatitis

Answer 11

4-6 weeks treatment

Question 12

Treatment duration in recurrences of chronic prostatitis

Answer 12

12 weeks

Question 13

Treatment of xanthogeanulomatous pyelonephritis

Answer 13

Nephrectomy

Question 14

Treatment of emphysematous pyelonephritis

Answer 14

Percutaneous drainage initially then possibly nephrectomy as needed

Question 15

First line regimen for candida of the urinary tract

Answer 15

Fluconazole 200-400 mg/d for 14 days