Urinary Tract Infection
Table of Contents
Presentations
Objectives
- Identify Differential Diagnosis (DD) of a case of UTI.
- Differentiate between the upper and lower UTI.
- Discuss briefly about acute cystitis (lower tract UTI) and honeymoon cystitis.
- Discuss briefly about pyelonephritis (Upper UTI).
- Investigate appropriately a patient with UTI.
- Advise initial management plan for a patient with acute cystitis.
- Identify preventive measures for acute cystitis.
In Summary
- UTI is a common problem.
- Females are more prone to this problem.
- Empiric treatment of short duration is acceptable.
- Be aware of Upper UTI and UTI in males.
- Non-pharmacological and good hygienic habits are the cornerstones to reduce recurrent attacks.
- Commonest bacteria: E.Coli, then Klebsiella, Proteus
- UTI more common in females
- Treatment with antibiotics usually for 3 days
- Treatment for 7 days in males, pregnancy, DM
- In pregnancy, if bacteria are present in urine, treat it, even if asymptomatic
- Obstruction in the urinary tract ---⇒ increased risk of UTI
- Antibiotics used:
- Non-pregnant female: Bactrim, nitrofurantoin, fosfomycin, cipro
- Males: Same as above for 7 days * Pregnancy: Nitrofurantoin, fosfomycin