UTI

Question 1

1st line treatment of lower UTI in pregnant patient ?

Answer 1

nitrofurantoin, amoxicllin or cephalexin

avoid nitrofurantoin near term

Question 2

1st line treatment of lower UTI in children ?

Answer 2

< 3 months - refer to paediatrician

timethoprim, nitrofurantoin, cephalosporin or amoxicilin or 3 days

Question 3

1st line treatment of upper UTI in children ?

Answer 3

either admit to hospital or oral co-amoxiclav or cephalosporin for 7-10 days

Question 4

indications for sending a urine culture in adults with a UTI ?

Answer 4

age > 65 yrs
visible or non-visible haematuria
symptomatic in pregnancy

Question 5

treatment of asymptomatic bacteriuria in pregnancy ?

Answer 5

nitrofurantoin, cephalexin or amoxicillin for 7 days

Question 6

indications for checking urine sample in children ?

Answer 6

unexplained fever > 38
signs/symptoms suggestive of UTI
alternative site of infection but remain unwell