Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
22 Cards in this Set
- Front
- Back
|
Organisms commonly associated with UTI, community acquired?
|
E Coli 73%
S Saprophyticus (sexual) 13% P Mirabilis 5% K Pneumonia 4% Enterococcus 2% |
|
|
Organisms commonly associated with UTI, Hospital acquired?
|
E coli 31%
pseudomonas 10% Gm - bacili 10% K pneumonia 9% s aureus 6% proteus 5% entrococcus 2% fungal 14% |
|
|
Sympotoms separating Lower UTI - cystitis from Upper UTI - pyelonephritis?
|
Both share dysuria, polyuria, urgency, hematuria. Pyelo is associated with N/V, flank pain, suprapubic pain, fever/chills, increased wbc
|
|
|
Symptoms of UTI that elderly may present with.
|
mental status changes, abdominal pain, reduced eating/drinking
|
|
|
Factors associated with complicated UTI
|
Male, hospital acquired, pregnancy, anatomical issue, recent ab use, DM, Indwelling catheter, immunosuppression, recent urinary instrumentation, childhood uti
|
|
|
Treatments for uncomplicated UTI
|
1) SMZ/TMP x 3 day
2) nitrofurantoin x 5 day 3) fosfomycin one dose alternative (quinolone x 3 day, Beta lactam x 3-7 day but avoid amp/amox - use augmentin, cefdinir,cefpodoxime,cefaclor) |
|
|
Treatments for Uncomplicated Pylonephritis
|
1) SMZ/TMP x 14 d
2) fluoroquinolone x 5-7d B-lactam x 10 - -14 d (less effective ) |
|
|
For a uropathogen resistence of 10% or greater in pyelonephritis, what do you do? (uncomplicated)
|
Initial dse of med is IV, long acting beta lactam (ceftriaxone), or once daily amg
|
|
|
Treatments of choice for complicated UTI? (inpatient)
|
1) Fluoroquinolone
2) AMG 3) extended spectrum beta lactam x 5 - 14 d ( 5 d for levo) |
|
|
Pregnant women should be screened for bacteriuria and tx even if asymptomatic. What ab's are used?
|
amox
nitrofurantoin Cephalexin SMZ/TMP 1 and 2 trimester only |
|
|
What ab's should be avoided in pregnancy?
|
fluoroquinolones
tetracyclines AMG's TMP/SMZ (is used, but try to avoid, esp. late 3rs trimester) |
|
|
WHat are post coital AB's to prevent UTI?
|
smz/tmp ss, cephalexin 250, norfloxacin 200, nitrofurantoin 50-100
|
|
|
For three or more uti's in one year not related to sex, what ab's are used?
|
tmp 100mg, smz/tmp ss, cephalexin 250mg, norfloxacin 200mg nitrofurantoin 50-100mg. Daily to 3 times a week prophylaxis
|
|
|
If patient has < 3 uti's in one year, what is tx of choice?
|
Patient symptomatic initiated tx, x 3 days.
|
|
|
TX for acute prostatitis?
|
4 weeks. TMP/smz, cephalosporin, fluoroquinolone
|
|
|
Tx for chronic bacterial prostatitis?
|
tx 1-4 mos, smz/tmp, fluoroquinolone. Difficult to tx.
|
|
|
TX for epididymitis, older than 35 yo?
|
10 d to 4 wk tx
smz/tmp, fluoroquinolone |
|
|
TX for epididymitis, younger than 35 yo?
|
10 d.
ceftriaxone IM x 1, then doxy 100mg bid |
|
|
T/F. Prophylactic ab is necessary in pt. with longterm indwelling cather.
|
False. No should you use methenamine salts or cranberry products.
|
|
|
T/F. Asymptomatic individuals with asymptomatic bactiuria should be treated.
|
FALSE
|
|
|
Organisms of concern in patients with bacteriura and indwelling catheter?
|
E coli, candida, enterococcus, pseudomonas, klebsiella, enterobacter.
|
|
|
When treating symptomaic bacteriuria 2/2 indwelling catheter what are the principles of tx?
|
7 - 10 d ab with catheter removal
5 - 7 d ab if catheter not removed Consider Levo if not severly ill. |
