UTI 2 Flashcards Preview

THER II TEST 4 > UTI 2 > Flashcards

Flashcards in UTI 2 Deck (18)
Loading flashcards...
1

what is the most valuable lab test for diagnosing a UTI

urinalysis/ pyuria

2

WBC casts in urine indicate what

pyelonephritis

3

all women with acute cystitis have what

pyuria (WBC cells in urine)

4

what is common in cystitis but not urethritis

hematuria

5

what detects pyuria

leukocyte esterase in urine dipsticks

6

what detects enterobateriaceae in UTI

nitrite in urine dipsticks

7

why are urine cultures now important in UTIs

to tell antibiotic resistance

8

how is acute cystitis treated

100 mg nitrofurantoin BID for 5 days

9

if CrCl is less than 50, how is acute cystitis treated

Bactrim DS for 3 days
or
fosfomycin 3g one time dose

10

what are 3 treatments for acute cystitis

100 mg nitrofurantoin BID for 5 days
Bactrim DS for 3 days
fosfomycin 3g one time dose

11

when should Bactrim not be used for acute cystitis

resistance more than 20% or used for UTI in past 3 months

12

what are 2 alternative drugs for acute cystitis treatment

1. fluoroquinolones: cipro or levo
2. b-lactams

13

what are the outpatient therapy of uncomplicated pyelonephritis

PO fluoroquinolone:
cipro 500 for 7 days; or levo 750 for 5 days
Bactrim DS 14 days BID
PO B-lactams for 10-14 days

14

what are the inpatient therapy of uncomplicated pyelonephritis

1. fluoroquinolone
2. aminoglycoside w/ or w/out ampicillin
3. cephalosporin
4. carbapenam

15

the addition of one dose of ceftriazone or an aminoglycoside is recommended for treating acute uncomplicated pyelonephritis when?

1. fluoroquinolone resistance over 10%
2. Bactrim susceptibility is unknown
3. PO B-lactam is used

16

what is the minimum duration of treatment for inpatient therapy of acute uncomplicated pyelonephritis

minimum of 14 days

17

what is the postcoital prophylaxis treatment for recurrent cystitis in young women

one half of a double strength Bactrim tab

18

what is the primary difference in treating acute cystitis in young men than young women

treat longer in men; 7 days