Urinary Tract Infection Flashcards
Tell me about Urinary tract infection
is the commonest bacterial infection managed in GP.
3% of F aged 20 then raises 1% for each decade
What is covered under the umbrella of urinary tract infection
Cystitis
Pyelonephritis
urethritis
Prostitis
Symptoms of Cystitis
Cystitis is the infection of the bladder
Frequency
Dysuria
Urgency (inflamed bladder wall)
Haematuria
Suprapubic pain
What is micturition
is the ejection of urine from the urinary bladder through the urethra to the outside of the body.
UTI symptoms
frequency hesitancy urgency dribbling blood (Haematuria) Dysuria incontinence, fever.
What is nocturia
Wake up and pass urine at night
Symptoms of prostitis
flu-like symptoms
backache
swollen/tender prostate on PR
few urinary symptoms
Signs of UTI
- Fever
- Abdo or loin tenderness
- Foul smelling urine and cloudy
- Distended bladder maybe
- Enlarged prostate
- Vaginal discharge
How to investigate UTI
• Urine dip stick
• MC&S urine + culture
• USS
Blood test –> FBC and U&E
What is cytoscopy
Tube into urethra to bladder to see inside
What will you look for in suspected UTI dip stick
if nitrates or leukocytes are positive then most likely it is of bacterial cause
In UTI when would you send sample to MC&S urine and culture
o Send if dip -ve but symptomatic and male child
o Or pregnant, immunocompromised, or VERY ILL
In UTI, when is further imaging or cytoscopy is indicated
o Persistent not responding to Tx
o History of renal tract disease
o Haematuria
o Men with 2 or more episodes in 3 months. Or Any men with obstruction suggestions
Differentials of UTI
Urethritis caused by an STI
Reiter’s syndrome - arth+conjuc+urethritis occur at same time
Causative organisms of UTI
Escherichia coli from GI tract is 75%
enterobacter (Proteus mirabilis, Klebsiella pneumoniae)
Staphylococcus saprophyticus.
urethritis
Gonococcal (Gonorrohoea)
non-gonococcal
