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What are some etiologies of cystitis/urethritis?
- Ascending infection by a single
- gram-neg enteric bacterium
- • E. coli, Klebsiella, Proteus, Enterobacter,
- Pseudomonas, Serratia
- Simultaneous infection with multiple pathogens
- • Neurogenic bladder, indwelling urinary catheter, or a fistula between intestine and bladder
- Breakdown in local defense
What are some diagnostic options to test for UTI?
- Characteristic clinical features and a
- microscopic urinalysis showing RBCs and WBCs > than 10/high- power field
- Clean midstream urine specimen with bacterial count > 100,000/ml
- Note: Lower counts do not
- necessarily r/o infection because bacteria require 30-45 min to reproduce in urine
How long do you have to be on antibiotics for UTI typically?
- 7-10 day course is standard, however...
- Recent studies show single dose or 3-5 day antibiotic regimen may be sufficient to render urine sterile
What can you do to help prevent UTI?
- Urge prompt treatment of predisposing conditions (chronic prostatitis)
- Wipe perineum front to back
- Clean thoroughly with soap and water after defecation
- Void after intercourse
- Void frequently