Medicine /Pharm Y2S2 - UTIs
What is the most common cause of bacterial UTIs?
E. Coli
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Key Terms
Term
Definition
What is the most common cause of bacterial UTIs?
E. Coli
Name common bacterial causes of UTIs.
Staphylococci spp Proteus spp Klebsiella spp Pseudomonas spp
What is cystitis?
Bladder inflammation
What are the symptoms of cystitis?
Increased frequency/urgency in urination Dysuria Haematuria Suprapubic pain
What is the common treatment for cystitis?
Potassium/sodium citrate can reduce acidity of urine making it easier to pass
What is pyelonephritis?
Inflammation of the kidneys often due to an ascending infection from the bladder/ureter
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Term | Definition |
---|---|
What is the most common cause of bacterial UTIs? | E. Coli |
Name common bacterial causes of UTIs. | Staphylococci spp Proteus spp Klebsiella spp Pseudomonas spp |
What is cystitis? | Bladder inflammation |
What are the symptoms of cystitis? | Increased frequency/urgency in urination Dysuria Haematuria Suprapubic pain |
What is the common treatment for cystitis? | Potassium/sodium citrate can reduce acidity of urine making it easier to pass |
What is pyelonephritis? | Inflammation of the kidneys often due to an ascending infection from the bladder/ureter |
What can be detected using a urine dipstick? | Nitrites released in bacteria breakdown Leukocytes Protein Blood |
Under what circumstances are samples sent for C+S? | Pregnancy Children Men Genitourinary abnormalities Renal impairment Failed treatment |
What constitutes an uncomplicated UTI? | Women- including in pregnancy Single episodes in children |
Give examples of structural abnormalities that may cause complicated UTIs. | Indwelling catheters Vesicouteric reflux Prostatic hypertrophy Tumours, cysts |
What can be done to prevent/control UTIs? | Fluids Avoid caffeine Empty bladder completely Empty bladder after sex Wipe from front to back |
What actions are taken by midwives in regards to UTIs? | Pregnant women screened for bacteruria Treated if present, even if asymptomatic Urine culture 7 days post treatment and monthly thereafter |
What is the treatment time for UTIs in children? | 3 days as standard 10 days if complicated |
What is vesicouteric reflux? | Valves between bladder and ureters not working effectively thus allowing back flow of urine |
What is the treatment length in adults for UTIs? | Standard 3-5 days Complicated 7-10 days |
What is the standard prophylaxis for UTIs? | Trimethoprim for 3-6 months in recurrent UTI |
Give examples of drugs used in treatment for UTIs. | Trimethoprim Nitrofurantoin Cephalosporins Co-amoxiclav |
What drug is given in pregnancy with bacteruria without symptoms? | Amoxicillin |
What drugs may be indicated in pyelonephritis? | Cephalosporins Quinolones Gentamicin |
What is the long term risk of trimethoprim? | Blood disorders |
When are quinolones cautioned? | Epilepsy |
What must be above a certain value for use of nitrofurantoin? | eGFR must be over 60 |
What are the dangers of gentamicin? | Nephrotoxic Ototoxic |