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RENAL QS > UTI > Flashcards

UTI Flashcards

1
Q

What is the definition of a UTI?

A

Pure growth of >10^5 organism per ml of fresh MSU

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2
Q

In who does asx bacteruria occur?

A

> 65
Catheter
Preg

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3
Q

What is a complicated UTI?

A 
Pregnancy 
Men 
Catheter
Child
Recurrent 
Persistent
Immunocompromised
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4
Q

Give 5 RF

A 
Female 
Intercourse
Pregnancy 
UT obstruction
Catheter 
Menopause 
DM
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5
Q

What is the most common bacterial cause of UTI?

A

E. coli

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6
Q

What are the causative bacterias?

A

KEEPPSS

Klebsiella - catheter 
Enterococci 
E. coli
Proteus
P. aueruginosa - recurrent 
Saprophyticus 
S. aureus
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7
Q

How does it present?

A 
Dysuria
Urinary frequency
Urinary urgency 
Cloudy/offensive smelling urine
Lower abdo pain/ supra-pubic tenderness 
Malaise
Fever: low-grade in lower UTI
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8
Q

How may elderly people commonly present?

A

Acute confusion

Delirium

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9
Q

What is a UTI in the bladder called?

A

Cystitis

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10
Q

What is a UTI in the renal pelvis called?

A

Pyelonephritis

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11
Q

What is a UTI in the prostate called?

A

Prostatitis

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12
Q

What IX do you want to do?

A

Urine dip - nitrites + leucocytes
Bloods: WCC, CRP - infection
MCS of MSU**
Glucose - DM

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13
Q

Which group of pts with a particular medical condition are more likely to suffer from recurrent UTIs?

A

Diabetics

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14
Q

Do you RX asx bacteruria?

A

No

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15
Q

When should you send for a urine culture?

A

> 65y

Visible or non-visible haematuria

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16
Q

How do you MX UTI in pregnancy?

A

SX:

  • urine culture
  • abx for 7 days

ASX:

  • urine culture performed routinely at first antenatal visit
  • abx for 7 days
  • sig risk of progression into pyelonephritis
  • send further urine culture after completion of course
17
Q

Which abx do you give in pregnancy?

Which should be avoided near term?

A

Nitrofurantoin, amoxicillin pr cefalexin

Nitrofurantoin should be avoided near term

18
Q

How do you MX UTI in non-preg women?

A

Trimethoprim or nitrofurantoin for 3d

19
Q

How do you MX UTI in men?

What abx do you give?

A

Immediate 7d course abx prescription

Trimethoprim or nitrofurantoin

20
Q

How do you MX UTI in catheterised pts?

Do you RX ASX bacteruria here?

A

If SX 7d course

No don’t RX asx bacteruria

RENAL QS (12 decks)

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