UTIs Flashcards

Question

What are the symptoms of a cystitis UTI?

Answer 1

dysuria, pyuria, frequent voiding, strong and persistent urge to urinate, cloudy/bloody/malodorous urine, pelvic pressure, lower abdominal discomfort, and NO fever

Answer 2

symptoms of cystitis as well as fever, chills, flank pain, nausea/vomiting, and hematuria

Answer 3

the area where the kidneys are become painful

Answer 4

fever/chills, symptoms of cystitis, enlarged and very tender prostate

Answer 5

acute or mild symptoms of pain, dysuria

Answer 6

typically seen in STDs (gonorrhea and chlamydia), dysuria, purulent discharge

Answer 7

often E.coli (80%)

Answer 8

Staph. saprophyticus - sexually active females Enteric GNR pseudomonas, candida, and enterococcus (in hospitals)

Answer 9

E. coli, other enteric GNR, and enterococcus

Answer 10

E. coli in young females, E. coli and proteus in young males, enterococcus in both

Answer 11

symptoms is a major portion, then we do urinalysis and then a urine culture

Answer 12

urine needs to be collected in the cleanest manner possible to avoid contamination; do midstream, clean catch (most common); straight catheterization, suprapubic aspiration, indwelling catheter; proper cleaning of genital folds prior to specimen

Answer 13

never take it from a catheter bag, it needs to be FRESHLY out of the catheter

Answer 14

often used in kids, needle from abdomen into bladder so urine can be taken with a syringe

Answer 15

use boric acid to preserve the specimen at room temp up to 48 hours, if not get to lab and examined with 30 minutes OR refrigerate up to 24 hours

Answer 16

plant urine on agar plate, sit in incubator for 18-24 hours, identify bacteria that grow, and perform antibiotic susceptibilities

Answer 17

mix sample before culturing; use a sterile, calibrated loop to inoculate Sheep Blood Agar or MacConkey Agar plates; do zig zag pattern with our "bubble wand"

Answer 18

> 100^5 CFU/mL of one bacterial species in symptomatic patient; 10^4-10^5 CFU/mL of two bacterial species in symptomatic patient; and 10^4-10^5 CFU/mL predominant uropathogen + mixed flora in symptomatic patient

Answer 19

any number of bacteria growing from an appropriately collected urine sample in an asymptomatic patient - no treatment, with expceptions

Answer 20

if signs and symptoms + positive urine culture = UTI

Answer 21

clean catch urine with more than two types of organisms growing

Answer 22

direct microscopy, enzymatic methods using a urinalysis dipstick (leukocyte esterase and nitrate reductase), gram staining smear of centrifuged urine, and automated screening methods

Answer 23

antibiotic therapy as without it they can be deadly

Answer 24

nitrofurantoin is preferred, then trimethoprim/sulfamethoxazole (TMP/SMX), cephalexin, cefuroxime, or amoxicillin-clavulanate

Answer 25

ceftriaxone, aztreonam, or piperacillin/tazobactam then deescalated to TMP/SMX or B-lactam as appropriate

Answer 26

18-year-old female is seen in clinic due to dysuria and pain in her right costovertebral angle (flank pain) area. Her urinalysis shows 18-25 WBCs per high power field (HPF). She became sexually active 3 months ago.

Answer 27

likely pyelonephritis

Answer 28

her flank pain, the white cells in her urine, and her recent sexual activity

Answer 29

> 100,000 CFU/mL E. coli

Answer 30

yes because it is significant and the patient has symptoms

Answer 31

yes, she has a UTI due to E. coli

Answer 32

A 48-year-old female is in neurosurgical ICU following removal of a glioma from the left frontal lobe. She has an indwelling catheter and is being treated with a second-generation cephalosporin for pneumonia. On the 7th postoperative day she spiked a temperature to 104.6 F. Urine and blood cultures were collected.

Answer 33

patient does not have signs or symptoms of UTI - so likely a catheter associated asymptomatic bacteriuria

UTIs Flashcards

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