UTIs in Small Animals Flashcards

1
Q

what is pyelonephritis?

A

inflammation of kidney parenchyma, calyces, and pelvis

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2
Q

what in urine helps with defense?

A

acidic pH
high urine osmolality
urinary inhibitors of bacterial adherence
competitive inhibitors of attachment to uroepithelial cells
mechanical flushing of urine flow

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3
Q

what are the clinical signs of UTIs?

A

urgency
hematuria
inappropriate urination
dysuria
pollakiuria
stranguria
foul-smelling urine
urine may become redder towards end of urination
urinary incontinence

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4
Q

what does poor vulvar conformation lead to?

A

UTIs
vaginitis

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5
Q

what do we look for in a urinalysis to diagnose a UTI?

A

bacteriuria
pyuria
hematuria

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6
Q

what is the kirby-bauer disc diffusion method based on for culture?

A

antimicrobial concentrations achievable in plasma and tissue

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7
Q

how are many antibiotics excreted?

A

by the kidneys

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8
Q

what is the minimum inhibitory concentration?

A

lowest concentration that inhibits growth of the pathogen

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9
Q

are gram negative or gram positive bacteria more commonly the causes of a UTI?

A

gram negative: 75%

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10
Q

what does it mean when a UTI is uncomplicated?

A

no underlying structural, neurologic, or functional abnormality

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11
Q

what are the first line drugs for treatment of uncomplicated UTIs?

A

amoxicillin
cephalexin
trimethoprim sulfa

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12
Q

when should you use empiric fluoroquinolones for a UTI?

A

complicated UTI that has pyelonephritis or prostatitis

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13
Q

which cats are likely to have a UTI if they have signs?

A

cats >10 years old
or concurrent disease

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14
Q

what is dysuria?

A

painful urination

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15
Q

what is periuria?

A

urination in inappropriate locations

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16
Q

what is the mean age of UTIs in dogs?

A

7-8 years

17
Q

what is the pathophysiology of UTIs?

A

ascending infection
normal defense mechanisms fail
colonization

18
Q

what makes diagnosing a UTI with a urinalysis difficult?

A

sediment is crucial
bacteria not always found
white blood cells can occur secondary to other conditions
white blood cells can be masked
hematuria can be due to non-infectious causes

19
Q

what percentage of UTIs are from gram + cocci?

A

24%

20
Q

when should you recheck the culture with a complicated UTI?

A

7-14 days after antibiotics started
monthly while on antibiotics