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What are potential causes of chronic infection/UTI? - ANSWERS--obstructions
-antibiotic-resistant bacteria ---- presence of multiple strains of bacteria
What is the regimin for post-coital or self-medication UTI prophylaxis? - ANSWERS-
Take antibiotics 3-4 days after intercourse or when symptoms begin
What is the antibiotic regimin for prophylactix with chronic UTI? - ANSWERS-Daily
dosing of low dose antibiotic therapy for 6 months.
How does interstitial cystitis respond to antibiotic treatment? - ANSWERS-It does not
How often should indwelling catheters be changed? - ANSWERS-Q 4-6 weeks
How long should patients who are geriatric or present with comorbidities,
immunocompromise, etc. be treated for uncomplicated UTI? - ANSWERS-7 days
,What is a key factor to consider when determining which antibiotic to use for
uncomplicated UTI? - ANSWERS-Area resistance
Patient history of antibiotic use
Bacteria resistance (culture)
Which antibiotic class is known to have widespread efficacy in treating UTI? -
ANSWERS-Fluoroguinolones
Empirical therapy for lower UTI? - ANSWERS-Amoxicillin, nitrofurantoin, or cephalexin x
1 week
Which class of antibiotc should be avoided if possible for lower UTI? - ANSWERS-
Flouroguinolones
What complications may arise during pregnancy with UTI? - ANSWERS-premature
delivery
What is the treatment for fungal UTI? - ANSWERS-Fluconazole 200 mg qd x 7-14 days
When is antibiotic treatment considered in patients who may not present with current
lower UTI? - ANSWERS-Pre-urological procedures
After removal of a bladder catheter
Any patient with underlying structural abnormality
Who should receive antibiotic prophylaxis for recurrent UTI? - ANSWERS-2 or more
symptomatic UTIs w/in 6 months
3 or more within 12 months
When should prophylaxis be started for recurrent UTI? - ANSWERS-Once negative
urine culture is obtained.
,Important follow up points for lower UTI - ANSWERS--Maintain adequate hydration and
monitor UO
-Obstruction must be identified and removed
-Prescribe analgesics for patients to reduce pain associated with UTI.
Patient instructions for physician notification following visit and prescribed treatment for
lower UTI. - ANSWERS-Notify if flank pain, hematuria, or lack of response to tx occurs.
Important patient teaching points regaring uncomplicated UTI - ANSWERS--Complete
full course of antibiotic
-increase fluid intake to 8-8oz glasses of H20/day
-Take cranberry supplement/drink cranbery juice
-self-medicate as indicated
-Avoid harsh soaps or feminie hygeine products
-Use condoms
-Use proper self-cath techniques
-Empty bladder frequently
-Take showers instead of tub baths
-Keep voiding diary that includes symptoms
-Empty bladder completely.
-Proper hygeine-wipe front to back
-cotton undergarments
-empty bladder after sexual intercourse
-Avoid bladder irritants-caffeine, sugary drinks, etc.
Non-cyclic pain of 6 or more months duration that is localized to the pelvis and is of
sufficient severity to cause functional disability - ANSWERS-Chronic pelvic pain
3 most common causes of chronic pelvic pain. - ANSWERS-endometriosis
interstital cystitis
, IBS
Noninfectious; similar presentation to UTI - ANSWERS-interstitial cystitis
•Chronic inflammatory condition of the bladder clinically characterized by irritable
voiding symptoms or urgency and frequency, in the absence of objective evidence of
another disease" - ANSWERS-interstitial cystitis
Worsening factors of Interstitial cystitis - ANSWERS-Intercourse
perimentraul status
Important goal of intersitial cystitis diagnosis and treatment. - ANSWERS-Determine
what the underlying cause of the symptoms is
Lab tests for interstitial cystitis - ANSWERS-None specific. Is a diagnosis of exclusion
What are some potential differential diagnoses to exclude with interstitial cystitis? -
ANSWERS-UTI
bladder cancer
Kidney stone
pyelonephritis
What are important diagnostic tests that should be included when excluding other
causes for diagnosis of interstitial cystitis? - ANSWERS-Gynecological-PAP
IVP,cystoscopy
What score on the PUF scale is indicative of likely interstitial cystitis? - ANSWERS-> 5
WHat dietary recommendations are present with interstitial cystitis? - ANSWERS-Avoid
acidic foods and beverges such a cranberry juice, tomatoe juice, etc.