Term
| What are some reason why UTI's are Ascending infections |
|
Definition
Proximity to Rectum
Short urethra (Women)
Sexual Activity and Sperimicidals increase colonization |
|
|
Term
| What are the host defenses against UTI's? |
|
Definition
Normal Flora Lactobaccili
Voiding flushes out bacteria
Urine: pH, Osmolarity, Urea
Tamm-Horshall Proteins: prevent adherence
Prostatic fluid: inhibits groth |
|
|
Term
| What is the major cause of UTI in 1-15yr, 15-36yr, and 36-65yr Women |
|
Definition
1-5: Vesicoureteral Reflux
16-36: Intercourse, Diaphragm/Spermicidal
36-65: Gyne Problems
|
|
|
Term
| When are men most suseptible to UTI infections |
|
Definition
|
|
Term
| Most common organism causing UTI's |
|
Definition
|
|
Term
| What type of UTI infections are considered complicated? |
|
Definition
Men
Children
Pregnant Women
Women with Urinary Tract Abnormalities |
|
|
Term
| What symptom can usually differentiate Acute Pyelonephritis from Acute Cystitis |
|
Definition
| Systemic symptoms, such as Fever, usually indicate Acute Pyelonephritis |
|
|
Term
| What is the differential for Acute Cystitis |
|
Definition
Acute Urethritis
Acute Pyelonephritis
Vulvovaginitis |
|
|
Term
| What are the renal complications of Acute Pyelonephritis? |
|
Definition
Abcesses
Emphysematous Pyelonephritis
Obstruction-> hydronephrosis
Papillary Necrosis |
|
|
Term
| Why is Catheter Associated UTI often asymptomatic? |
|
Definition
| Catheter can bypass the lower Urinary Tract reducing inflamation in that area |
|
|
Term
| What are the Diagnostic tools for UTI |
|
Definition
Micro of Urine: Leukocytes and/or Bacteria
Urine Dipstick: Leukocyte Esterase, Nitrites
Urine Culture
|
|
|
Term
| If a male has recurrent cystitis infections what should be the approach to his treatment? |
|
Definition
| Ultrasound and referral to a urologist |
|
|
Term
| Approach to children with pyelonephritis |
|
Definition
Sexual Abuse
Vesicoureteral Reflux |
|
|
Term
| When should asymptomatic bacteruria be treated? |
|
Definition
Pregnancy
Children
Males awaiting Urological Surgery |
|
|
Term
What is the treatment of:
Acute Uncomplicated Cystitis
Acute Uncomplicated Pyelonephritis
Complicated Pyelonepritis |
|
Definition
Cystitis: Single dose or 3 day usually
Pyelo: 14 day
Complicated: >14 day |
|
|
Term
| When is a prostatic massage indicated in the diagnosis of prostatitis and when is it contraindicated? |
|
Definition
| Indicated in Chronic, but not in acute |
|
|
Term
| At what bacterial cell count in urine culture should treatment antibiotics be used |
|
Definition
|
|
Term
| What are the standard antibiotics for UTI's or bacterial prostatitis |
|
Definition
Fluoroquinolones
Triamethoprim/Sulfamethoxazole |
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