Term
T/F Notes
Bacteriuria should always be considered an abnormal finding in men. |
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Definition
| True - men cant have uncomplicated UTIs - they are always considered to be complicated UTIs |
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Term
| What bacteriuria lab values are seen in women with cystitis? Notes |
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Definition
>/= 102 CFU/mL midstream urine plus pyuria
(>/= 5 leukocytes/mm3 of urine) |
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Term
| What bacteriuria lab values are seen in women with pyelonephritis and in men? |
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Definition
|
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Term
| What bacteriuria lab values are seen with complicated UTIs? |
|
Definition
| >/= 105 CFU with or without pyruria |
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Term
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Definition
type: cystitis, pyelonephritis, asymptomatic bacteriuria
symptms: symp or asymp
recurrences: sporadic, recurrent - relapse or reinfection
complicating factors: uncomp or comp |
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Term
| What are 3 things that can complicate UTIs? |
|
Definition
| renal scars, glomerulnephritis, and other chronic renal diseases |
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Term
T/F
UTI in children does not need to be treated. |
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Definition
| False - it needs to be treated aggressively |
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Term
| What are signs and symptoms of UTI? |
|
Definition
dysuria, frequency (with small amounts), urgency, nocturia, post mictural sensation to void, low abdomen location
In men it can affect the prostate and therefore cause low pelvic pain, sacral pain, or rectal pain |
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Term
| Why are women more likely to get a UTI than men? |
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Definition
| playground's too close to the sewer |
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Term
| What are the symptoms of cystitis? |
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Definition
| frequent voiding, burning during and after voiding, suprapubic pain, hematuria and/or cloudy urine |
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Term
| What are the symptoms of pyelonephritis? |
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Definition
| fever, chills, flank pains, cystitis symptoms (may be absent) |
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Term
| What do you find on physical exam in someone with UTI? |
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Definition
|
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Term
| What do you find on physical exam of patient with pyelo? |
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Definition
|
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Term
| What lab tests do you run on someone with suspected UTI? |
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Definition
U/A - blood, WBC, bacteria, nitrite, glucose, and ketones
Culture and sensitivity |
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Term
| What is the DOC in non-allergic UTI patient? |
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Definition
|
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Term
| What drugs might you use to treat UTI? |
|
Definition
| sulfonamide (DOC), amoxicillin, cephalosporin (2nd and 3rd gen), quinolone, nitrofurantoin, bactrim/septra ds, sulfamethoxazole/trimethoprim, Augmentin, cipro, floxin, levaquin, noroxin, penetrex, monurol |
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Term
T/F
You always treat a UTI in a female. |
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Definition
|
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Term
| What is pyridium and why is it used? |
|
Definition
it is a urethral anesthetic and it is used to help relieve pain of a UTI.
It turns the urine orange and should only be used for a few days (kidney damage is possible). |
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Term
T/F
Treatment of a male with a UTI lasts longer than treatment for a female. |
|
Definition
| True (10 days v. 3 days for bactrim and 14 days v. 7 days for amoxicillin) |
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Term
| What supportive treatment is recommended for UTI? |
|
Definition
| fluids, pyridium 200 mg tid x 3 days with meals, hygiene - no bubble baths, correct wiping, no douching, urinate after intercourse |
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Term
| When should you do a follow up urine culture? |
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Definition
| all patients with pyelo, complicated infections, or frequent recurrences (4-5 days and 3-4 weeks after treatment) |
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Term
| What are some special considerations for UTI? |
|
Definition
| pyelonephritis, bacteremia/septicemia, renal insufficiency, dysuria w/o infection, pediatric patients |
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Term
T/F
In pediatric patients, you should investigate for abnormalities after 2 infections for girls and 1 for boys. |
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Definition
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Term
| For women who frequently get UTIs associated with intercourse, what can be used as prophylaxis? |
|
Definition
| Nitrofurantoin - 50 mg after intercourse |
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