UTIs Flashcards
Complicated UTIs
Complicated UTIs have other risk factors such as: structural, functional problems, foreign
What are the most common bugs for UTIS?
**EColi
Enterobactereciae
Gram positive cocci: strep, enterococcus
Clinical features of a UTI
Lower: dysuria, increased frequency, fever
Upper: flank pain, CVA tenderness, nausea, vomiting
Elderly: atypical symptoms, altered mentation
Children: may be sign of anatomical abnormality
Diagnostic tests for UTI
Cell count: greater than 10WBCs/uL
WBC casts=pyelonephritis
Dipstick: positive for leukocyte esterase, nitrites
Culture: GOLD STANDARD
Predominant uropathogen ad high colony count
Treatment uncomplicated UTI
Empiric treatment towards E. coli
TMP-SMX
Nitrofurantoin
Non infectious causes dysuria
Carcinoma Trauma Atrophic vaginitis Stone Interstitial cystitis
Vaginal discharge, odour
Vaginitis: typically cadida, bacterial, herpes simplex
Atrophic vaginitis
Peri-menopausal, discharge