UTI/Prostatitis

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Author:
giddyupp
ID:
63910
Filename:
UTI/Prostatitis
Updated:
2011-02-04 11:46:37
Tags:
UTI Prostatitis PHPR523 Test2
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UTI/Prostatitis
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  1. What are the patient characteristics associated with Acute uncomplicated cystitis/urethritis (lower tract infection)?
    • typically women
    • 18-menopause
    • non-pregnant
    • often related to sexual intercourse
  2. What are the symptoms of acute uncomplicated cystitis/uretrhitis (lower tract infection)?
    • dysuria
    • urgency
    • frequency
    • nocturia
    • suprapubic heaviness
    • gross hematuria
  3. What pathogens cause Acute uncomplicated urethritis/cystitis (lower tract infections)?
    • E. coli (85%)
    • Staph saprophyticus (10%)(peds)
  4. What is the treatment for Acute uncomplicated urethritis/cystitis (lower tract infection)?
    • Bactrim x 3d (short-course tx)
    • FQ x 3d
    • Nitrofurantoin x 7d
    • B-lactams (Cephs really) x 3d
  5. What are the symptoms associated with Acute uncomplicated pyelonephritis (upper tract infection)?
    • flank pain
    • fever
    • nausea
    • vomiting
    • malaise
    • gross hematuria
  6. What are the patient characteristics associated with Acute uncomplicated pyelonephritis (upper tract infection)?
    • Male or female
    • mild-moderate (uncomplicated)
    • severe (complicated)
  7. What pathogens cause Acute uncomplicated pyelonephritis?
    • E. coli
    • Gram (+) bacteria
  8. What is the treatment for Acute uncomplicated pyelontphritis?
    • FQ x 14d
    • Bactrim x 14d
    • Amoxicillin x 14d
    • Amoxicillin clavulanate x 14d
  9. What pathogens cause Acute complicated pyelonephritis?
    • E. coli
    • P. mirabilis
    • K. pneumoniae
    • P. aeruginosa
    • E. faecalis
  10. What is the treatment for Acute complicated pyelonephritis?
    • FQ x 14d
    • Extended spectrum pen + AG (Amp, Amox, Carbenicillin, Ticarcillin, Pip)
  11. What is considered recurrent UTI?
    at least 3 episodes/yr
  12. What is the treatment for recurrent UTI?
    • Bactrim 1 SS qd
    • Bactrim 2 DS upon onset
    • Bactrim 1 DS post coitus
    • topical estrogens (women >65)
  13. What are the patient characteristics associated with asymptomatic bacteriuria?
    • pregnant
    • diabetes
    • catheterized
    • elderly
    • children
    • Not always an infection
    • "hold the Foley"
  14. What are the patient characteristics associated with symptomatic abacteriuria?
    NOT a UTI!!!!
  15. What is the treatment for UTI in pregnant patients?
    • Amox-Clav x 7d (not really)
    • Ceph x 7d
    • Bactrim x 7d (not 3rd trimester)
    • Nitrofurantoin x 7d
  16. What are the patient characteristics associated with prostatitis?
    • men 35-64yo
    • typically after instrumentation (scope, biopsy, Foley) or anal intercourse
    • complications: bacteremia, abscess, chronic prostatitis, urine obstruction
  17. What are the symptoms associated with prostatitis?
    • UTI
    • abd/lowback/penile/perirectal/perineal pain
    • warm, swollen, tender
  18. What pathogens cause prostatitis?
    • E. coli
    • K. pneumonia
    • Proteus spp
    • P. aeruginosa
  19. What is the treatment for prostatitis?
    • FQ x 4-6wks
    • Bactrim x 4-6wks (not very good)
    • Acute prostatitis may require IV tx initially

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