Term
| UTIs are more common in females or males? |
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Definition
| more common in females than males. |
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Term
An uncomplicated UTI is not associated with ________ or _______ abnormalities. |
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Definition
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Term
What sign and symptom is not common in lower urinary tract infections (cystitis)
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Definition
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Term
Typical signs and symptoms of upper urinary tract infections (pyelonephritis)
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Definition
| flank pain, abdominal pain, fever, N/V, and malaise. |
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Term
Diagnosis: Acute Uncomplicated Cystitis in Females
If less than <20% local E. Coli resistant to SMX/TMP and no allergy to sulfa, treat with? |
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Definition
SMX/TMP DS tab BID x 3 days
Note: if >20% local E. Coli resistant to SMX/TMP or sulfa allergy -> 3 day regimen of Cipro 250 mg bid. |
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Term
Diagnosis: Acute uncomplicated cystitis in females.
What may be added to a SMX/TMP treatment to reduce symptoms.
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Definition
| Phenazopyridin 200mg po TID x 2 days |
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Term
Diagnosis: Acute uncomplicated cystitis in females.
What can be given for prophylaxis |
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Definition
prophylaxis is given if greater than 3 episodes in 1 year. Give 1 SMX/TMP SS QD or 1 SMX/TMP DS post coitus.
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Term
Diagnosis: Acute uncomplicated cystitis in females.
What two drugs are NOT recommended |
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Definition
Moxifloxacin or Gemilfloxacin
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Term
Diagnosis: Acute uncomplicated cystitis in females.
Do you treat pregnant women? |
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Definition
| Yes. Treat for seven days. |
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Term
Diagnosis: Acute uncomplicated cystitis.
Long-term tretment needed in what patient populations? |
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Definition
uncomplicated UTIs in men, pregnancy, elderly people with diabetes, and children.
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Term
Diagnosis: Acute uncomplicated pyelonephritis
What is the treatment? |
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Definition
FQ po x 5-7 days; (Cipro mg po bid or Cipro ER 1000 mg qd; Levo 750 mg qd; Oflox 400 mg bid). |
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Term
Diagnosis: Complicated UTI.
Treatment |
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Definition
AMP + Gent or PIP/Tazo or Ticar/clav
Note: Need UA, urine and blood cultures.
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Term
Diagnosis: Complicated.
Aside from microorganisms, what can casue a complicated UTI?
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Definition
| May be due to obstruction, catheterization. |
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Term
| MUST treat pregnant women with UTI. May only use which agents? |
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Definition
Amoxicillin (near term)
Nitrofurantoin
Oral Cephalosporins
Fosfomycin
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Term
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Definition
An azo dye and urinary analgesic.
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Term
How to take Phenazopyridine
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Definition
| Take with or following food to minimize stomach upset. |
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Term
| What is the maximum amount of time Phenazopyridine can be used? |
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Definition
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Term
| What is a unique side effect of Phenazopyridine? |
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Definition
May cause red-orange coloring of the urine and other body fluids. Contact lenses and clothes can be stained. |
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Term
| When to avoid the use of Phenazopyridine? |
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Definition
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