Urinary Tract Infections

Question 1

When would you use antibiotics to treat a lower UTI in non-pregnant women?

Answer 1

Urinary symptoms (e.g. frequency, dysuria)

Question 2

Which antibiotics would you use for a lower UTI in non-pregnant women?

For how long?

What else would you do?

Answer 2

Oral trimethoprim, OR
Oral nitrofurantoin

Duration: 3 days

Obtain urine culture

Question 3

Which antibiotics would you use for a lower UTI in men?

For how long?

Answer 3

Oral trimethoprim, OR
Oral nitrofurantoin

Duration: 7 days

Question 4

Which antibiotics would you use for an upper UTI in men/non-pregnant women?

What if you suspected resistant organisms?

What if the patient had a true penicillin allergy and you suspected resistant organisms?

For how long?

Answer 4

Oral trimethoprim

Duration: 7 days

If resistant organisms: oral co-amoxiclav

If penicillin allergy: oral ciprofloxacin

Question 5

Which antibiotics would you use for pyelonephritis with sepsis?

What if the patient had a true penicillin allergy?

For how long?

Answer 5

IV amoxicillin, PLUS
IV gentamicin

In penicillin allergy: ONLY IV gentamicin

Duration: 7 days

Question 6

How would you treat a catheter-related UTI? (3)

Answer 6

Single dose IV gentamicin OR oral ciprofloxacin
Remove/replace catheter
Obtain urine culture

Question 7

How would you treat a catheter related UTI with sepsis?

Answer 7

Remove/replace catheter
Obtain urine culture
Antibiotics as for pyelonephritis (IV amoxicillin PLUS IV gentamicin)