Term
| Uncomplicated UTI criteria |
|
Definition
| Otherwise healthy female with no structural or functional abnormalities in urinary tract |
|
|
Term
|
Definition
Lesion of urinary tract
Age >65
Pregnancy
DM
Immunosuppression
Males |
|
|
Term
|
Definition
| Three or more UTI/year and asymptomatic between infections |
|
|
Term
| Difference between relapse and reinfection |
|
Definition
Relapse: cause by same initial organism
Reinfection: caused by different organism |
|
|
Term
|
Definition
| Bacteria (100,000 for females, 1000 for males), pyuria, nitrites, leukocyte esterase |
|
|
Term
| When you should get urine cultures for complicated UTI/pyelonephritis, pregnancy, recurrent UTI |
|
Definition
Complicated UTI/pyelo: before and possibly 1-2 weeks after finishing
Pregnancy: before and 1-2 weeks after finishing
Recurrent: after clinical failure and two weeks after re-treatment is finished |
|
|
Term
| Pathogens and treatment for uncomplicated UTI |
|
Definition
Pathogens: EKP, S. saprophyticus, enterococcus
Local E. coli resistance <20%: TMP/SMX
Local E. coli resistance >20%: Cipro
Alternatives: nitrofurantoin, fosfomycin |
|
|
Term
| Pathogens and treatment for UTI in pregnancy |
|
Definition
E. coli, S. saprophyticus
Amox/Clav or Ceph or TMP/SMX x 7 days |
|
|
Term
| Treatment for UTI if risk factors for STI |
|
Definition
Chlamydia
Doxycycline (or azithromycin) |
|
|
Term
| Possible prophylaxis options for recurrent UTI in young women (post menopausal get no prophylaxis) |
|
Definition
1/2 SS qday
2 DS at onset of symptoms
1 DS post coitus |
|
|
Term
| Pathogens and treatment for males with UTI |
|
Definition
EKP
TMP/SMX or FQ for 10-14 days |
|
|
Term
| Pathogens and treatment for pyelo outpatient |
|
Definition
EKP, enterococcus
FQ x 7 days |
|
|
Term
| Pathogens and treatment for pyelo inpatients |
|
Definition
EKP, enterococcus, pseudomonas
FQ x 14 days (IV, but switch to PO once afebrile for 24-48 hrs) |
|
|
Term
| Urinary analgesic and how long you should use it |
|
Definition
| Phenazopyridine, only for 2 days so you don't mask the symptoms of an unresolving UTI |
|
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