UTI

• WHat are some general symptoms of a UTI?


  Malaise

  Low grade fever

  Lower abdo pain

  Acute confusion (elderly)
• What are urinary symptoms of a UTI?


  Cloudy/offensive smelling urine

  Inc urinary frequency

  Inc urinary urgency

  Incontinence

  Dysuria
• What are some risk factors for a UTI?


  Catheters

  Pregnancy

  Having sex

  Dehydration

  UT blockage (e.g. kidney stones)
• WHat are some bedside investigations for a UTI?


  Urine dip (RBCs, nitrite, leukocytes)

  Urine culture
• When would you do a urine dip for UTI?


  Female

  No catheter

  <65 years old
• When would you do a urine culture for a UTI?


  >65 years old

  Male

  Pregnant

  Haematuria

  Recurrent UTI
• How are UTIs managed with medication in pregnant women, 1st trimester vs 3rd trimester?

  7 day course of antibiotics

  Nitrofurantoin in 1st trimester (due to folic acid)

  Trimethoprim in 3rd trimester
• What is the length of the course of antibiotics for uncomplicated UTIs?

  3 days
• What is the length of the antibiotic course for UTIs in men?

  7 days