Flashcards in UTI 2 Deck (18)
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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
