UTIs

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Top 3 Bacterial Causes of UTIs
- 1. E coli
- 2. E coli
- 3. E coli!
Minor Causes of upper UTIs
- Klebsiella pneumoniae
- proteus mirabilis
- pseudomonas aeruginosa
- enterococcus faecalis
Number one gram positive cause of lower UTI

Staphylococcus saprophyticus
Culture definition of UTIs
- greater than 10^5 colony count
- colony count should be 0 in bladder!
Diagnosis of Uncomplicated UTIs
(most powerful predictors)
- dysuria
- frequency
- NO vaginal discharge or irritation (ruling out STDs)
Routes of UTI infection
- Ascending
- Hematogenous (bacteremia jumps from kidneys)
DOC for Enterococcal UTI

Amoxicillin 875 mg PO q12h (if it is not