Lower Urinary Tract Infection (Byron) Flashcards
(T/F) Cats are very commonly misdiagnosed for UTIs
True
Urinary Tract Infections
- Females > Males
- All ages, possibly more common in older females
- especially spayed females
Dogs
Urinary Tract Infections
- Relatively rare
- > 10 years old
- < 10% in this species
- 1-3% in young animal
Cats
Cystitis is more common to be:
- ascending infection > descending infection from
Bacterial
(T/F) The presence of WBCs in the urine does not mean a UTI is present, it simply indicates inflammation
True
With struvite stones, the infection comes:
first and then the stones
With calcium oxalate stones, the stones are there and the:
Bacteria come because the stones have broken down some of the barriers
- < 1-2 UTIs/year
- No immunosuppression
- No underlying abnormalities to predispose to UTI
- No history of abx usee in last 1-2 months
- Rare in intact male (more likely prostatitis if LUTS)
Sporadic UTI
- Common in dogs and cats
- Predisposing causes
- May be recurrent
Recurrent UTI
- recurrence by the same organism
- within days of stopping antibiotic
- ineffective antibiotic treatment
- not fully eliminated by previous treatment
- often more difficult to treat than reinfections
Relapsing UTI
- UTI with a different organism than the one previously
- defect in host defenses
- weeks or months after the previous infection
- usually eliminated with appropriate therapy, but need to investigate the reason for reinfection
- indicates a breach of normal host defenses
Reinfection UTI
(T/F) Gram staining of air-dried urine sediment may improve sensitivity and (most important) specificity
True
Which of the following is the most important to evaluate when assessing a cat with lower urinary tract signs?
Urolithiasis
(T/F) Don’t give cranberry extracts to a dog prone to calcium oxalates
True, because of vitamin C
Sensitive cat in provocative enviroment
FIC
