Urinary Tract Infections
Risk Factors
Aetiology
Clinical Features
Investigations
Management
Source
Dr Philip Tan 2014
- Female
- Age
- Anatomy that causes stasis of urinary tract (BPH, stones)
- Catheterisation (colonisation)
- Sexual activity
- Spermicide (drop in Lactobacillus in vagina)
Aetiology
- E coli (most common, also most common in catheter associated UTI)
- Klebsiella (2nd most common)
- Young women: S saprophyticus
- Pseudomonas, Enterococcus (more common in non catheter UTI)
Clinical Features
- Dysuria
- Urgency
- Frequency
- Suprapubic pain
- Retention
- Incontinence
- Delirium
- Vomiting
- Fever
- Flank pain
Investigations
- Urinalysis (Nitrites)
- Urine MCS
Management
- Only treat pregnant for asymptomatic bacteriuria
- Uncomplicated: 3/7 Trimethoprim
- Complicated (men, catheter, stone, ascending inf): 7-14/7 Trimethoprim
- Pregnant: Nitrofurantoin. cephalexin
Source
Dr Philip Tan 2014