UTI Flashcards
1
Q
name 6 RF
A
f preg menopause diabetes catheter urinary tract obstruction
2
Q
pathogens
A
- klebsiella
- e coli
- enterococci
- proteus vulgaris
- pseudomonas
- staph (coag -ve e.g. s saprophyticus
-candida
3
Q
when to do urine culture
A
high risk e.g. preg, immunosuppressed
-failed to respond to rx
-male
NOT REQUIRED in symptomatic non-preg women
4
Q
ix to think about in men
A
PSA and DRE (LUTS)
5
Q
when to refer
A
-persistently irresponsive to rx renal tract dis/anomaly -haematuria -recurrent infection not responding to preventive measures -men >=2 UTI in 3 months -if ? enlarged prostate
6
Q
is cranberry juic helpful?
A
cochrane review suggests benefit is limited
7
Q
1st line rx uncomplicated pyelonephritis (usually pathogen, normal urinary tract, normal kidney function)
A
oral cipro 7-10 days
8
Q
on examination UTI what to assess for
A
SEPSIS!! temp, BP…
9
Q
rx postmenopausal women if vaginal atrophy/dryness
A
topical oestrogen
10
Q
do you treat asymptomatic bacteriuria
A
preg - yes!
non preg - no
catheter - no
