UTI Flashcards
What is an uncomplicated UTI?
UTI in healthy sexually active young women with clear relation between sex and UTI
What is a complicated UTI?
Anything that isn’t an uncomplicated
Children, pregnant women, men..
What can recurrent UTI in men be a sign of?
Prostatitis
When should UTI be suspected in a child?
Urinary symptoms
Unexplained fever
What is the most common causative bacteria in UTI?
E. coli
Who are sexually transmitted UTIs seen in?
Usually young males
What are the risk factors for UTI?
Female Sexually active Pregnancy Anatomical abnormality Instrumentation Foreign body Status of urine DM
What is the presentation of UTI?
Classic triad= dysuria, frequency, abnormal smell of urine Urgency Cloudy urine Haematuria Suprapubic pain
What is the presentation of UTI in the young?
Systemically unwell- fever, N&V, anorexia, diarrhoea
What is the presentation of UTIs in the elderly?
Wet, wacky, wobbly
Incontinence
Acute confusion
Off of feet
What investigations are done for an uncomplicated UTI?
MSSU dipstick- high nitrates and leucocytes, haematujria common
MSSU culture if haematujria or inconclusive dipstick
What bacterial number is indicative of infection?
10^5
What investigations are done for a complicated UTI?
MSSU dipstick and culture
What are the general management principles for UTI?
Hydration
Analgesia
Antibiotics
What antibiotics are given for an uncomplicated UTI?
3 days trimethoprim/nitrofurantoin
