UTI

Question 1

What is the most common cause of lower UTI?

Answer 1

E.coli

Question 2

What causes risk of proteus miribalis?

Answer 2

Sexual activity in men and women
Unprotected anal intercourse

Catheterisations nd improper catheter cleaning

-> associated with struvite stone formation

Question 3

What is the cause of staphylococcus epidermidis?

Answer 3

Most common in children with utrinary tract abnromalities

Severe obstruction or urinary stasis

Question 4

What is the first line medication for UTI?

Answer 4

Oral nitrofurantoin
Or trimethoprim

Question 5

What is the course length for first line management of UTI?

Answer 5

3 days

Question 6

What is the management of UTI in men?

Answer 6

Trimethoprim or nitrofurantoin for 7 days

Question 7

What is the management of UTI in pregnancy?

Answer 7

Nitrofurantoin for 6 days

If renal function is poor, consider amoxicillin

Question 8

What is the most common cause of urethritis?

Answer 8

STI such as gonorrhoeal is most common

Question 9

What is the first line treatment for prostatitis?

Answer 9

Oral ciprofloxacin

Question 10

Which medication is a risk with UTI?

Answer 10

Contraceptives diaphragm due to the pressure of the diaphragm on the urethra reducing bladder emptying.

Question 11

What is the treatment of UTI in the first trimester of pregnancy?

Answer 11

Nitrofurantoin

Question 12

What is the second line treatment for prostatitis?

Answer 12

Oral trimethoprim

Question 13

Which medication is given for severe pyelonephritis?

Answer 13

Ciprofloxacin, which is a good cover for gram negative bacteria

Question 14

What medication is given for simple lower UTI?

Answer 14

Nitrofurantoin or co-amoxiclav

Question 16

What to do if there is bacterial growth in catheter sample but no symptoms?

Answer 16

It is asymptomatic bacterium is so avoid antibiotics and only monitor for infection

Question 17

What to do if there is bacterial growth in catheter sample with symtpoms?

Answer 17

Change catheter and start antibiotics