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UTI

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jennifer12345's version from 2017-11-07 18:34

Section 1

Question Answer
What is the most commonly occurring bacterial infection?UTI
UTI's are more common in women then men until what age?65
What is the most common organisms in UTI'sBowel flora
What is the most common pathogen in an uncomplicated UTI?E. Coli
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Section 2

Question Answer
Ascending UTIBacteria from perineal area up the urethra, primary route infection
Descending UTISeeding of the urinary tract from the blood, uncommon
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Section 3

Question Answer
Where does urethritis occur?urethra
Where does cystitis occur? bladder
Where does prostatitis occur?prostate
Where does pyelonephritis occur?kidney
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Section 4

Question Answer
What factors impact UTI infection?size inoculum, virulence of organism, and company of host defenses
What is an example of a host defense?urine and urination, prevention of bacterial adherence via glycosaminoglycan and immunoglobulins
What does circulating estrogen do?Supports lactobacillus growth
The majority of UTIs are related to failure in what?Host defenses
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Section 5

Question Answer
Examples of medications that predispose someone to a UTIAnticholinergic, bethanecol, antihistamines
Treatment for acute uncomplicated cystitistrimethoprim/sulfamethoxazole or quinolone for 3 days
Treatment of complicated cystitis, or symptomatic UTI trimethoprim/sulfamethoxazole or quinolone for 7-14 day
Examples of urinary analgesicsphenazopyridine (pyridium) and methylene blue (urelle)
Treatment of a UTI during pregnancyamoxicillin/clavulanate (augmentin) or cephalexin (keflex) for 7 days
Treatment of acute pyelonephritis trimethoprim/sulfamethoxazole or quinolone for 14 days
Treatment of acute pyelonephritis is pseudomonas is suspectedceftazidime (fortaz), piperacillin/tazobactam (zosyn), aztreonam (azactam), imipenem + aminoglycoside
Treatment of prostatitistrimethoprim/sulfamethoxazole or quinolone for 4 weeks
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Section 6

Question Answer
Signs of a UTI includedysuria, frequency, urgency, nocturia, and hematuria
Signs of an upper UTI would also includefever, flank pain, abd pain, nausea
Incomplete bladder emptying is seen in neurologic disorders, diabetes, spinal cord injury
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Section 7

Question Answer
Bacterial count > 100,000 bacteria/mL is considered an infectionTrue
Gram positive organisms produce nitrite in urine chemistryFalse
In a UTI you find in the urine cells: WBC >5, hematuria and proteinuriaTrue
Men do not have additional defense of a UTI from prostate secretionsFalse
There are high resistance rates of E.coli to ampicillin and amoxicillinTrue
Drinking at least 1L a day can help prevent UTIFalse
All UTIs in men are considered a complicated UTITrue
A short course of antibiotics is recommended in men with a UTIFalse
Asymptomatic bacteruria in pregnancy can lead to prematurity, stillbirth and low birth weightTrue
Use of quinolones during pregnancy is acceptedFalse
Avoid using sulfonamides in the third trimester for pregnant women with a UTITrue
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Section 8

Question Answer
Phenazopyrdine (pyridium) turns the urine what color?orange
Methylene blue (urelle) turns the urine what color?green
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Section 9

Question Answer
Symptoms of acute bacterial prostatitisperineal, sacral or suprapublic pain, fever, urinary retention, frequency, urgency, dysuria, swollen and tender prostate
Symptoms of chronic bacterial prostatitisvoiding discomfort, prostate that is boggy/indurated or normal, vague symptoms
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