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13 Cards in this Set
- Front
- Back
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what is the #1 nosomcomial infection?
What pathogen is responsible for most? |
UIT!
e. coli |
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UTIs are most common in _________________
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sexually active women |
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Sx of UTI (cystitis) |
(FUD) Frequency Urgency Dysuria (painful urination)
(if infection reaches kidneys= pyelonephritis sx will include fever, chills, flank pain) |
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UTI diagnosis? |
Urinalysis (UA) |
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What is the most specific indicator that UTI is present on UA (dipstick analysis)? |
presence of nitrites
(WBCs, blood may also be present but not specific to UTI) |
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Tx for uncomplicated UTI |
Bactrim DS (TMP-SMX) for 3 days or Macrobid (Nitrofurantoin) for 5 days
*(can add Phenazopyridine (Azo) to relieve dysuria sx) |
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Complicated UTIs occur in what patients? |
-diabetes mellitus -pregnancy -immunosuppression -catheterized -hx of polycystic kidney dz or kidney transplant -urolithiasis -neurogenic bladder -recent urinary tract instrumentation -all men** |
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TX for complicated UTIs |
ciprofloxacin (cipro) 500 mg for 10 days or levofloxacin (levaquin) 750 for 5 days
7-10 day course |
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How long should you give antibiotics if UTI is accompanied by pyelonephritis? |
14 days |
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T/F Pyelonephritis can be tx outpatient |
TRUE but only if: -pt does not appear toxic -pt can tolerate PO intake -pt has home support -pt can follow up -pt has no complicating factors
(re-evaluate in 3 days if still symptomatic) |
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Pts w complicated UTI or pyelonephritis should have a repeat urine culture _____ after tx
(don't usually follow up if uncomplicated) |
1-2 wks after tx |
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Tx for UTI in pregnancy |
NItrifurantoin (macrobid) 100mg 2X day 7-10 days or cefpodoxime (vantin) 100mg 2X day 7 dals |
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Pediatric UTIs are usually due to ___________ & what should ALWAYS be done? |
usually d/t anatomical problems
VCUG (Voiding Cystourethrogram)--> looking for vesicoureterall reflex- predisposes children for UTI |
