UTI

Question 1

what are common UTI causing pathogens?

Answer 1

E.coli in 70-95% of uncomplicated

Klebsiella pneumoniae and streptococci

Question 2

what are the S&S of LUTI (i.e cystitis)

Answer 2

Dysuria 
Frequency 
Urgency 
Suprapubic pain 
Haematuria

Question 3

pyelonephritis has all the same LUTI symptoms but what other symptoms are present?

Answer 3

fever 
Flank pain 
Chills/rigors 
Costo-verterbral angle tenderness 
N&V

Question 4

how is suspected UTI investigated and what would be seen?

Answer 4

Urine dip
- leucocytes, nitrites and blood

MSU culture
- organisms

urine microscopy
- bacteria, WBCs and RBCs

post void residual
- detects urinary retention

Imaging i.e renal US or CT

• if suspected renal tract abnormalites
• if unresponsive to Tx
• recurring UTIs

Question 5

what is the treatment of lower UTI?

Answer 5

oral nitrofurantoin or oral trimethoprim

females 3 day course and male 7

Question 6

what is the treatment of upper UTI without sepsis?

Answer 6

oral ciprofloxacin or oral trimethoprim

7 days for both sexes

Question 7

what is the treatment of urosepsis?

Answer 7

IV Gentamicin

if eGFR<20 then IV temocillin

Question 8

what is the treatment for catheter related UTI?

Answer 8

single dose IV gent or single dose oral cipro

Question 9

what are the symptoms of prostatitis? How is treated?

Answer 9

UTI like symptoms + pain in genitals, pelvis, lower back or buttocks

4 week course of oral ciprofloxacin

Question 10

what are the complications of UTI?

Answer 10

sepsis

AKI

renal and peri-renal abscess

pyelonephritis