UTI

Question 1

What are the signs of a UTI?

Answer 1

Pollakuria, hematuria, stranguria, dysuria, periuria,+/- incontinence

Question 2

Define pollakiuria.

Answer 2

Increased frequency of urinartion

Question 3

Define hematuria.

Answer 3

Blood in the urine

Question 4

Define stranguria.

Answer 4

Straining to urinate

Question 5

Define dysuria.

Answer 5

Difficulty urinating

Question 6

Define periuria.

Answer 6

Urinating in inappropriate places

Question 7

What form of urine collection is preferred?

Answer 7

Cyctocentesis

Question 8

When may you get a false urine culture?

Answer 8

If stored >24-48 hours

Question 9

What is consistent with ureteral obstruction?

Answer 9

Hydronephrosis and hydroureter

Question 10

What is the most common isolate with UTIs?

Answer 10

E. coli (gram negative rod)

Question 11

Is UTI a cause of pu/pd?

Answer 11

No

Question 12

How would you manage sporadic bacterial cystitis?

Answer 12

Amoxicillin for 3-5 days
Can use trimethoprim sulfa
Expect clinical signs to resolve within 48 hours

Question 13

What is the criteria to consider empirical therapy?

Answer 13

Dog (cat UTIs should always be cultured)
First time UTI or infrequent UTIs
No antibiotic given in past 4-6 weeks

Question 14

When is a patient considered complicated?

Answer 14

Greater than or equal to 3 UTIs per year

Question 15

How would you treat pyelonephritis?

Answer 15

Fluroquinolone (floxacins) for 10-14 days

Question 16

What should you assume in any intact male with a UTI?

Answer 16

It has bacterial prostatitis

Question 17

How would you treat bacterial prostatitis?

Answer 17

Enrofloxacin for 4-6 weeks