cystitis (lower UTI)

Question 1

most common bacteria

Answer 1

E coli

Question 2

treatment

Answer 2

first line = self care
- fluids
- paracetamol/NSAIDs
- hygiene: wipe front to back
- avoid caffeine, alcohol, acidic drinks
- don’t resist the urge to urinate

Question 3

OTC products - weak evidence

Answer 3

Cystopurin - potassium citrate

Cymalon - sodium citrate (1 sachet TDS for 48hrs)

Question 4

cautions and c/i for Cystopurin and Cymalon

Answer 4

c/i - male, children

cautions - hypertension, pregnancy, CKD, CVD
(contain cranberry - warfarin, salts - hpt)

Question 5

risk factors

Answer 5

female (15-34)
pregnancy
sexual intercourse
Hx/FHx of UTI
catheterisation
immunosuppression

Question 6

referral

Answer 6

• no improvement in symptoms in 3 days
  – male
  – U 16 years
  – pregnant
  – haematuria
  – elderly patients in an acute confused state
  – systemic symptoms: fever, chills, nausea, vomiting
  – severe pain in the loins
  – failed treatment
  – haematuria
  – structural abnormality of genitourinary tract
  – immunosuppressed
  – uncontrolled diabetes