UTI Flashcards
what would make a UTI ‘complicated’
func/struc abn, in men, catheter, pregnant
what is cystitis
inflam of bladder (lower UTI)
most common cause of UTI
E Coli
second most common cause of UTI in younger women
Staph saphrophyticus
if a UTI is due to staph what can you confidently say about the origin
is due to haematogenous spread
how will UTIs present in <2y olds
non specific sympto
fever, vom, failure to thrive
how will UTIs present in >2y olds
freq, dysuria, abdo/flank pain
what are the symptoms of a lower UTI
freq panful urination of sml amounts of turbid urine, fever absent
how will an upper uti/pyelonephritis present
systemically unwell, may have lower UTI sympto
how do UTIs commonly present in the elderly
non specific sympto
delirium + falls
what test is very specific for a UTI
urine dipstick - nitrites + ve
what would you suspect if urine dipstick showed neg nitrites but +Ve leukocyte esterase
UTI but not due to E coli
what would indicate that an MSU sample had not been taken correctly
sq epi cells seen on sample
what agar is used for a UTI culture and how would you interpret the results
chromogenic agar - changes colour
pink = e coli
blue = other coliforms
light blue = G+ ve
what is the treatment for a lower UTI
nitrofuratoin/trimethoprim
