UTI

Question 1

which UTI are preg women more likely to develop?

Answer 1

lower

Question 2

what do UTIs in preg women increase risk of?

Answer 2

preterm delivery !!!
( also other adverse preg outcomes like low birth weight and pre eclampsia

Question 3

what are lower UTI presentation

Answer 3

Dysuria (pain, stinging or burning when passing urine)
Suprapubic pain or discomfort
Increased frequency of urination
Urgency
Incontinence
Haematuria

Question 4

what does pyelonephritis present with

Answer 4

Fever (more prominent than in lower urinary tract infections)
Loin, suprapubic or back pain (this may be bilateral or unilateral)
Looking and feeling generally unwell
Vomiting
Loss of appetite
Haematuria
Renal angle tenderness on examination

Question 5

what is the most common cause of a UTI

Answer 5

E COLI

Question 6

how are UTI managed in pregnancy

Answer 6

7 days of antibiotics
Nitrofurantoin (avoid in the third trimester)
Amoxicillin (only after sensitivities are known)
Cefalexin

Question 7

when do you avoid nitrofurantoin and why

Answer 7

in the third trimester as there is a risk of neonatal haemolysis (destruction of the neonatal red blood cells).

Question 8

when do you avoid trimethoprim and why?

Answer 8

first trimester
works as a folate antagonist so can cause congenital malformations- neural tube defects