UTIs Flashcards
Signs and Symptoms of Lower UTI
Dysuria
increase in frequency/urgency
hematuria
Signs and Symptoms of Upper UTI
CVA Tenderness
Fever
Chills
Nausea/Vomitting
What is Lower UTI called?
Cystitis
What is Upper UTI called?
Pyelonephritis
What might UTI present in the elderly as?
Mood and Appetite changes
True or False. In women with overactive bladder, interstitial nephritis with increase urgency may not be bacterial infections
True
Uncomplicated UTI
Normal urinary tract
Normal voiding
Complicated UTI
Recurrence
SIRS/Sepsis
Extensive ABx Resistance
Immunosuppresion
Catheters
Male UTIs
How do you diagnose UTI?
Urinalysis
***also gram stain and culture
Urinalysis lab findings
pyuria >10 WBC
leukocyte
nitrite
hematuria
proteinuria (kidney dysfunction)
bacteuria
Most common bacteria in UTI
E. Coli
Significant Bacteuria
GNR: Trad >10^5
:Women >10^2
:Men > 10^3
Clinical UTI
Significant bacteuria + pyuria (+s/s)
How to treat acute uncomplicated cystitis?
Nitrofurantoin monohydrate x5 days
TMP/SMX x3 days
How to treat Acute Pyelonephritis (OutPt)?
TMP/SMX x14 days
Levofloxacin 750mg x5 days (sulfa allergy)
How to treat Acute Pyelonephritis (InPt)?
Extended-spectrum cephalosporin(1-3 gen)
OR
Penicillin +/- Aminoglycoside
x10-14 days
***IV
Should you treat Asymptomatic Bacteriuria?
No. Except in:
- Pregnancy
- Prior to renal transplant
- Prior to invasive urinary tract procedure
How to treat asymptomatic bacteriuria in pregnancy?
Amoxicillin/Clavulanate x7 days
Cephalexin x3 days
What Antimicrobials are contraindicated in pregnancy?
Quinolones and Tetracyclines
What Antimicrobials should you use in pregnancy?
Iv B-Lactams (Ceftriaxone/Cefazolin)
True or False. Cystitis is rare in young men and typical in elderly men.
True
Therapy for UTI in males (Prostitis)
Acute:TMP/SMX 2 - 4 weeks
Chronic: TMP/SMX 4 - 6 weeks
