General UTI Flashcards
(13 cards)
What is the classical cause of UTI?
E. coli infection of the urethra
Why are UTIs more common in women?
Due to shorter urethras
What facilitates E. coli’s attachment to the urothelium?
Fimbriae and pilus proteins
What is the most common mechanism of UTI inoculation?
Inoculation of the urethra following sexual activity
What can cause UTIs aside from sexual activity?
Catheters
What symptoms should prompt consideration of UTI in a patient with a history of catheter use?
Dysuria + History of catheter
What are key historical considerations for general sepsis
History of IV line/catheter may indicate cause
What are standard treatments for UTI?
- Trimethoprim
- Trimethoprim/sulfamethoxazole (TMP/SMX)
- Nitrofurantoin
What preventive measure can decrease the risk of UTI recurrence?
Post-coital voiding
What is the recommended therapy if post-coital voiding does not prevent UTIs?
Post-coital nitrofurantoin therapy
What is an alternative prophylaxis if post-coital nitrofurantoin therapy fails?
Daily TMP/SMX prophylaxis
Q where they say a girl was treated successfully in the past with TMP/SMX for a UTI + ask how to prevent recurrent UTIs now
they just jump straight to “daily TMP/SMX prophylaxis.”
What should be tested for if dysuria persists after UTI treatment?
Chlamydia and Gonorrhea
