Signs/Symptoms/Risks
These are symptoms often associated with cystitis
What is urgency, hematuria, altered mental status
This gram-negative, facultative anaerobic, rod shaped coliform bacterium is the most common organism found in UTIs
What is Escherichia coli
What is seen in a urinary analysis in a patient with a UTI
This 4 letter acronym signifies a resistance mechanism present by bacteria; may need to be treated with carbapenems
What is ESBL?
Antibiotics that could be given for empiric coverage of a uncomplicated cystitis
What are
Nitrofurantoin, bactrim, fosfomycin, cipro, augmentin, keflex
These are symptoms often associated with pyelonephritis
What are flank pain, fever, N/V, CVA tenderness
These are some criteria's that would consider a UTI to be complicated
What are MDRO, pseudomonas, male, structural issues, pregnant
The CFU count to be considered a positive culture
What is 100,000 CFU
In a novel class of its own, this antibiotic disrupts cell wall synthesis by inhibiting phosphoenolpyruvate synthetase
What is fosfomycin?
Antibiotics that have coverage of pseudomonas
What is - cefepime, zosyn, meropenem
Symptom that is specific in males with UTIs
What is prostatitis
Gram positive organisms that are commonly found in UTIs
What are enterococcus and staphylococcus
CFU count to be considered symptomatic catheter associated UTI
What is 10,000 CFU
Antibiotics that could be given for empiric coverage in an uncomplicated pyelonephritis
What is ceftriaxone or cefepime, zosyn, alternatives- cipro, levo
The duration of therapy for pyelonephritis
What is 5-7 days
There are risk factors for UTIs
What are: female, sexual activity, pregnancy, structural abnormalities, catheter placement
Organisms expected to present in catheter associated UTI
What are Proteus spp., M. morganii, P. stuartii
CFU count to be considered asymptomatic catheter associated UTI
What is 100,0000
Medications that a pregnant women can receive for UTIs
What are beta lactams and nitrofurantoin
The scenarios for when asymptomatic bacteriuria would be treated
What are pregnancy, urological interventions, or catheter associated UTI with 100,000 CFU
Risk factors for UTI with resistant organisms
What are recent braod-spectrum abx use, health care exposures, and traveling to parts of world where MDROs are prevalent
You are rounding in the microbiology lab and a patient is found to have a culture with gram negative lactose fermenting rods. What organisms would you be concerned for?
What is E coli, klebsiella pneumoniae, Enterobacter (p. mirabilis), Serratia
This imaging study is warranted for patients who have persistent clinical symptoms despite antimicrobial therapy, or have suspected urinary tract obstruction
What is CT scan of abdomen and pelvis
One of two medications that should be avoided for treatment of pyelonephritis due to the lack of tissue penetration
What is nitrofurantoin or fosfomycin
You are on rounds and a patient has a positive blood culture showing gram negative rods. What are the potential sources of this gram (-) bacteremia?
Urine, abdominal, pneumonia, wound or surgical site infections