UTI (Cystitis)

Question 1

What is the most common pathogen that causes Uncomplicated Cystitis?

Answer 1

E.coli

Question 2

Why do 25% of women who had UTIs suffer from recurrent UTI?

Answer 2

Uropathogenic bacterial strains can survive in the fecal flora for months to
years following elimination from the urinary tract. One hypothesized
mechanism is via biofilm formation, which confers antibiotic resistance
and chronicity of the infection. Thus, up to 25% of women experience
recurrent cystitis after their first UTI. These rates escalate with the number
of preceding infections. Most such cases are due to reinfection with the
same strain of bacteria that caused the initial infection

Question 3

For UTI caused by catheter, what is the most common pathogene?

Answer 3

Pseudomonas infection

Question 4

UTI is more common in …….than …….. until after 2nd year

Answer 4

more common in boys than girls until after 2nd year

Question 5

What are the risk factors for UTI?

Answer 5

Congenital abnormalities as renal agenesis

• Females: wiping, sex, pregnancy
• Males: uncircumcised
• Both: vesicoureteral reflux , toilet-training, constipation, anatomic abnormalities
• Stasis

Question 6

When to order renal-bladder US in children?

Answer 6

In all children less than 2 years.
For children 3 years and older only in case of: recurrent, complicated, or atypical disease or if there is no response to empirical treatment within 48 hours

Question 7

When can we say about UTI “recurrent UTI “ ??

Answer 7

Recurrent UTIs are defined as two uncomplicated infections within a six- month period or three infections over one year.

Question 8

When is imaging is needed for women with UTI?

Answer 8

Imaging studies are not routinely indicated either unless complications
such as pyonephrosis or renal abscess are suspected. In women with
recurrent UTIs, these may help identify predisposing abnormalities

Question 9

What are the pathogen that causes UTI and which one is the most common one?

Answer 9

The most common cause of a urinary tract infection (UTI) is the bacterium Escherichia coli (E. coli), which is typically found in the colon. In women, sexual intercourse can cause these bacteria to be introduced into the urinary tract and lead to a bladder infection (cystitis). Other bacteria including Chlamydia, Mycoplasma, and Gonorrhea, as well as the herpes virus can cause infections of the urethra (urethritis

Question 10

Name 8 risk factors for UTI?

Answer 10

1.Enlarged prostate in men
2.Catheters placed in the urethra and bladder
3.Diabetes
4.Sexual intercourse, including anal intercourse
5.pregnancy
Condom use
6.Not drinking enough fluids
7.Kidney or urinary stones
8.Spinal cord injury or other nerve injury around the bladder

Question 11

Why pregnancy is a risk factors for UTI?

Answer 11

1. hormonal changes combined with
2. increased weight of a growing uterus blocking urine from passing out of the bladder contributes to a greater incidence of UTIs in pregnancy.
   UTIs in pregnant women involve the kidneys more often than the bladder.

Question 12

Pregnant women should
D treat UTI seriously to avoid what?

Answer 12

A pregnant woman who develops a UTI must get prompt treatment to prevent a kidney infection. A kidney infection during pregnancy can cause high blood pressure, early labor, premature delivery, and low birth weight.

Question 13

What’s the percentage expected to have a recurrent UTI for omen?

Answer 13

Urinary tract infections are more common in women than in men; up to 20% of women will experience at least one UTI in their lifetime. About 20% percent of women will have a second UTI, and up to 30 percent of those women will have a third. Of those women who have a third UTI, about 80% of them will have recurrent UTIs.