UTI

Question 1

What are some risk factors for UTI?

Answer 1

Female sex
Sexual Intercourse
Pregnancy
Menopause
DM
Urinary tract obstruction
Vesicoureteric reflux
Foreign body e.g catheter 
Immunosuppressants
Renal transplantation

Question 2

What are some upper urinary tract symptoms?

Answer 2

Loin pain 
Fever
Rigors 
Flank tenderness
Loin mass

Question 3

What are som lower urinalysis tract symptoms?

Answer 3

Dysuria
Frequency
Urgency
Haematuria
Suprapubic tenderness

Question 4

What is a renal carbuncle?

Answer 4

Abscess within the renal parenchyma, usually confined to the cortex
(Seen in diabetics and IVDUs)

Question 5

What does renal TB classically cause?

Answer 5

Sterile pyuria (raised WCC in urine with no bacteriuria)

Question 6

Non pregnant women aged 18 UTI.

What antibiotic?

Answer 6

Nitrofurantoin 100mg modified release BD for 3days
Or
Trimethoprim 200mg BD for 3days

Question 7

Pregnant woman UTI

1st line abx?

Answer 7

Nitrofurantoin 100mg MR BD for 7days

Question 8

Can you give a pregnant woman trimethoprim?

Answer 8

No

Question 9

What are some 2nd line abx for a UTI in a pregnant female?

Answer 9

Amoxicillin (500mg TDS for 7days)

Cefalexin (500mg BD for 7days)

Question 10

Do you treat asymptotic bacteriuria in pregnant women?

Answer 10

Yes! Choose from nitrofurantoin amoxicillin or cefalexin based in recent culture