UTI Flashcards
What organism causes 85 percent of uncomplicated UTI?
e. coli
First line treatment for uncomplicated UTI
Bactrim TMP-SMX x 3 days OR Nitrofuratonin x 7days
Bacterial growth is decreased by ____ urine.
dilute urine and a low pH
Uncomplicated UTI is defined as
occurring in a premenopausal, sexually active, non pregnant woman who has not recently had a UTI
Complicated UTI is defined as
Occurs in a male, postmenopausal woman or pregnant woman, or a patient with structural defects, neurologic lesions, or a catheter OR if symptoms have lasted more than 7 days
TMP-SMX is contraindicated for what allergy
sulfa
Second line therapy for recurrent cystitis
flouroquinolone (-ofloxacin) x 7 days or Bactrim x 7 days
Regarding UTI, when is it appropriate to use a floroquinolone
Empiric therapy for recurrent cystitis, in complicated UTI,
Third line therapy for UTI
Urine culture is then done. Treatment is based off of culture results IF pt has 2 or less UTI a year. Greater than 3 you may want to consider self treatment or a prophalactic of Bactrim Nitrofuratonin or norfloxacin
what is the common cause of UTI in geriatric population
As estrogen decreases, vaginal flora increases in post menopausal women. LActobacilli decreases and pH increases
UTI in males is usually cased by
e. coli and enterobacter
UTI in geriatric males is usually caused by
proteus klebsiella serratia pseudomonas enterococcus
what treatment is appropriate for UTI in pregnancy
Amoxicillin is safest.
Cephalexin, nitrofuratonin, sulfonamides, are not to be used in third trimester
First line therapy for uncomplicated pyelonephritis
floroquinalone 10-14 days OR TMP-SMZ. culture should be done before starting therapy.
Second line for uncomplicated pyelonephritis
oral therapy for 2-6wk
