(2026) | Exam Prep | Real Questions | A+
• urinary tract infection (UTI) -✓✓invasion of pathogenic organisms
(commonly bacteria) in the urinary tract, especially the urethra and bladder;
symptoms include dysuria, urinary frequency, and malaise
• UTI clinical manifestations -✓✓LOWER- frequency, smell, urgency,
burning, concentrated, hematuria, super pubic pressure/pain
UPPER- All of the above plus fever, flank pain, and chills
• Uncomplicated UTI -✓✓Occurs in otherwise normal urinary tract . Affects
women
Usually involves only the bladder.
Uti in men is always complicated
• cysitis -✓✓inflammation of the bladder
• Causes of uncomplicated UTIs? -✓✓Sexual intercourse, impaired
voiding, use of spermicides , estrogen defieciency , abx use
• Most UTIs are caused by -✓✓Gram-negative rods from the GI tract. (
ecoli)
• Risk factors for UTIs -✓✓Female gender
Vaginal infections
Bubble baths and vaginal deodorant sprays
Dehydration
Tight-fitting synthetic undergarments
Infrequent voiding
First trimester of pregnancy
Trauma during delivery
Urinary calculi
Diabetes
Sickle cell trait
, • Frequent UTIs -✓✓More than 3x/year or 2 in 6 months
• UTI diagnosis confirmed -✓✓urinalysis
• UTI treatment -✓✓Complicated: Fluoroquinolones are typically the first-
line choice.
Uncomplicated:
Macrodantin 100mg x 5 days
Bactrim DS BID x 3 days
Cipro 250 bid x 3 days
Levaquin 250mg x 3 days
• UTI pathogens -✓✓E. Coli
Enterococcus
Klebsiella
Proteusy
• pyelonephritis -✓✓inflammation of the kidney and renal pelvis
• Pyelonephritis treatment -✓✓outpatient: ciprofloxacin, levaquin, bactrim
ds x 14 days y
inpatient: ampicillin/gentamicin
• Florquinolones in elderly -✓✓Do not use due to increased dementia and
seizure
• UTI patient teaching -✓✓-avoid tub baths, spermicides, oil-bass lube,
perfume to peritoneal area
-void after intercourse
-cotton underwear and no tight fitting stuff
-hygienic care --> front to back wiping
-increase fluid intake to 8-10 glasses a day
• prostatitis -✓✓acute or chronic inflammation of the prostate.