CYSTITIS|UNCOMPLICATED UTI [UTI LESSON 2]

Cystitis

Dysuria
Urinary frequency


Urinary urgency


Supra pubic pain


+- Pyuria


No fever


No chills


No rigors


No fatigue


No malaise


No flank pain

Complicated UTI:
Frequency


Urgency


Dysuria


Hematuria


Pyuria


Flank pain


Fever


Chills


Rigor


Vomiting


Fatigue


Malaise


Suprapubic pain


Nocturia



* Possibility of Multi Drug Resistance G-negative

ESBL resistance


MRSA


VRSA


Impatient at Hospital, Long Term Care Home


Use of broad-spectrum antibiotics recently


Travel to MDR organisms regions like India, Israel, Spain, Mexico


If uncomplicated and no MDR risks, then start empirical antibiotic therapy without urine culture and sensitivity


Choose from:


Nitrofurantoin BID X 5/7


Trimethoprim- sulfamethoxazole X 3/7


Trimethoprim X 3-5/7


Fosfomycin stat dose


Pivmecillinam X 5-7/7


Ciprofloxacin X 5-7/7 or


Ciprofloxacin extended release X 3/7


Amoxicillin- Clavulanate 500mh PO BID X 7/7


Cefpodoxime 100mg PO BID X 7/7


Cephalexin 500mg PO BID X 7/7


Levofloxacin 250mg-500mh PO OD X 3/7


+- Analgesics

AND MANY MORE,ENJOY LISTENING!

LESSON