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Diagnosis
Risk Factors
Microbiology
Treatment
Concerns
100
What are the three cardinal signs of a UTI?
Dysuria, urgency and frequency.
100
What is a neurological disease that predisposes a person to a UTI?
Multiple sclerosis
100
What is the most common pathogen in both community and hospital acquired UTI?
E.Coli
100
Is ampicillin or fosfomycin indicated for pyelonephritis?
No
100
Would you treat an asymptomatic patient with an antibiotic?
No.
200
What symptoms indicate pyelonephritis over UTI?
Fever, chills and costovertebral tenderness.
200
What is the pathogen most commonly found in patients with neurogenic bladder?
Proteus
200
What are the antibiotic choices for either uncomplicated or complicated pyelonephritis?
Quinalones and most betaLactams.
200
What antibiotic classes should be avoided in 1st trimester?
TCNs and quinalones.
300
What is the difference between uncomplicated and complicated pyelonephritis.
Imaging showing perinephric stranding and/or abscess.
300
What is a risk factor in men older than 65?
Enlarged prostate.
300
What is an opportunistic organism that appears after a procedure?
Serratia.
300
What is the #1 choice according to the IDSA Guidelines for acute cystitis?
Nitrofurantoin.
300
Can you use ceftriaxone to treat a non-fermenting GNR?
No
400
What does squamous cells >6 indicate in a UA?
That elevated wbc's maybe secondary to procedure.
400
What are physical risk factors that predispose patients to UTIs?
Morbid obesity, OA and Parkinsons.
400
What is the causative organism that causes honeymoon cystitis?
Staphococcal saprophyticus
400
What antibiotic classes do you avoid in the 38-42 week range,active labor and breast feeding?
Sulfa and nitrofurantoin.
400
What carbapenem has a significant drug interaction with valproic acid when treating an ESBL UTI?
Meropenem
500
What is the best method for collecting a urine sample?
2nd midstream collection.
500
What are the risk factors in females older than 65?
Post menopausal decline in estrogen leading to decreased levels of lactobacilus.
500
What is the most common gram positive organism associated with traumatic urinary procedures?
MRSA
500
What is the recommended dose of fosfomycin for an ESBL,VRE or MRSA UTI?
3g po q72h x3 doses.
500
Which groupings represent the "best" option for treating recurrent UTIs?
1. Fosfomycin with cranberry juice. 2. Amoxil 3 days per week with methenamine hippurate 3. Topical estrogen vaginal cream twice weekly and lactobacillus capsules 4. Cipro x3days plus cranberry juice.