UTI's

Question 1

Common signs and symptoms of urinary tract infections

Answer 1

1. Lower UTI: Dysuria, urgency, frequency, nocturia, suprapubic heaviness, gross hematuria
2. Upper UTI**: Flank pain, fever, nausea, vomiting, malaise

• Notice pyuria is not listed
• *More systemic symptoms

Question 2

What happens when you treat asymptomatic bacturia?

Answer 2

People are more likely to become symptomatic! Don’t treat!

Question 3

Who should be screened for asymptomatic bacturia?

Answer 3

Pregnant women (reduces incidence of pyelonephritis and preterm delivery)
People undergoing urologic procedures (reduces incidence of septic complications)
*Screen and then treat them if positive.

Question 4

How long should you treat complicated UTI and pyelonephritis?

Answer 4

7-14 days, unless levaquin 750 daily, then 5 days.

Question 5

If a drug has a Cmax/MIC PK/PD profile (like AG’s), then what is a good target Cmax/MIC?

Answer 5

100 x MIC

Question 6

How long to treat uncomplicated community acquired UTI?

Answer 6

Men: 14 days
Women: 7 days

Question 7

When should you use FQ’s in UTI?

Answer 7

When you don’t have any good alternatives. Causes Tendon problems, muscle/joint, nervous system, blood sugar, mental health, cardiovascular (aneurism), issues.

Question 8

What MDRO’s need to be reported to the NHSN?

Answer 8

MRSA, VRE, MDR acinetobacter, CRE

Question 9

What MDRO’s need to be reported to CMS?

Answer 9

MRSA, C. diff.