UTIs Flashcards
(15 cards)
What are the typical bacteria that cause UTIs?
Klebsiella E.coli Enterococci Pseudomonas Proteus Mirabilius Staph. Saprophyticus
What are the atypical bacteria that cause UTIs?
TB Chamlydia MRSA Candida Mycoplasma
What are some broad RF for UTIs
Gender Instrument use/surgery Reduced host defence Urine flow stasis or obstruction Anatomical weirdness Menopause
What Sx would you see in UTI?
Dysuria Freq Urgency Post-void dribbling Hesitancy Suprapubic pain Foul-smelling urine
What additional Sx would you expect to see in pyelonephritis?
Fever Flank pain Costovertebral angle pain Sepsis PID
What are two initial investigations to order in a suspected UTI?
Urinalysis
MC&S
DDx for UTI please
Vaginitis STI urethritis Nephrolithasis PID Painful bladder syndrome
Name 3 investigations that can be done on children with UTIs
Renal USS
Micturiting bladder scan
DSMA-MATS
Acute UTI empirical pharmacological Mx in adults
- Nitrofuratoin 100mg TDS 5days
- Trimethoprim 300mg OD 3days
- Cephalexin 500mg BD 5 days
What antibiotic would you use for culture positive UTI?
Amoxicillin
Chronic UTI empirical pharmacological Mx in adults
- Nitrofuratoin 50mg daily for 3-6 months
- Trimethoprim 150mg daily for 3-6 months
- Cephalexin 250mg daily for 3-6 months
What investigation do you do for proof of cure?
MC&S
Acute UTI empirical pharmacological Mx in children
- Trimethoprim syrup 4mg/kg BD, max of 150mg daily
2. Cephalexin 12.5mg/kg TDS or QID
What antibiotic does Rob Davies love to given patients prophylactically for procedures?
Ciprofloxacin
What are three non-antibiotic things you can advise a patient to reduce UTIs?
Cranberry juice
Pesaries if post-menopausal
Void post-intercourse
