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Urinary Tract Infections
UTI: Pharm Test
14
Pharmacology
Graduate
04/03/2011

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Cards

Term
Uncomplicated UTI criteria
Definition
Otherwise healthy female with no structural or functional abnormalities in urinary tract
Term
Complicated UTI criteria
Definition
Lesion of urinary tract
Age >65
Pregnancy
DM
Immunosuppression
Males
Term
Recurrent UTI criteria
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
Urinalysis of UTI
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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