Infections of the urogenital tract

Question 1

New Sepsis Definitions quick SOFA criteria:

Answer 1

Respiratory rate ≥ 22/min
Altered mentation
Systolic blood pressure ≤ 100 mmHg

Question 2

What is SIRS and what are the criteria?

Answer 2

Systemic Inflammatory Response Syndrome

Hypo- (<36) or hyperthermia (>38,3)
Tachycardia (>90/min)
Tachypnoea (>20/min) and/or pCO2 <33mmHg
Leucocytosis (>12/nl) or leukopenia (<4/nl)

Question 3

What is a Urosepsis?

Answer 3

SIRS + UTI

Question 4

How many women will have a UTI in their lifetime?

Answer 4

50%

Question 5

What is the risk for another UTI after a woman has had one?

Answer 5

~20%

Question 6

What is the risk for another UTI after a woman has had two?

Answer 6

30%

Question 7

How many women who have had 3 UTI:s will have very frequent UTI:s?

Answer 7

80%

Question 8

When should you treat asymptomatic bacteriuria?

Answer 8

Pregnant women

Before urological procedures

Question 9

When can you use ciprofloxacin when treating a complicated UTI?

Answer 9

Local rexsistance <10% and

The entire treatment is given orally
Patients do not require hospitalization
Patient has an anyphylaxis for beta-lactam antimicrobials

Question 10

How should an uncomplicated UTI be treated:

Answer 10

Use a combination of:

amoxicillin + aminoglycoside or
second generation cephalosporin + aminoglycoside or
third generationcephalosporin iv as empirical treatment of complicatied UTI with systmeic symptoms

Question 11

What is the definition of antibiotic prophylaxis

Answer 11

Short, usually, single dose, administration of an antibiotik substance in normal dosage prior to start of operation

Question 12

In what urological procedure should antibiotic profylaxis be given regardless the culture?

Answer 12

Ureteroscopy
PNL
Tur P
Tur B (high risk patients)
Prostate biopsy (also use rectal cleansing)