Management of Bacterial UTI.

Management of Bacterial UTI. PowerPoint PPT Presentation


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. Mx in adult femaleMx in pregnancyMx in adult male. Signs and symptoms. DysuriaFrequencyPolyuriaFeverFlank painSuprapubic pain. Adult Female. Signs and Symptoms of UTIMultiple symptomsTrimethoprim or Nitrofurantoin for 3/7-no improvement-cultureFever/back pain consider UUTILimited sym<2

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Management of Bacterial UTI.

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1. Management of Bacterial UTI. Hot Topic Oct 06 EA Doherty

2. Mx in adult female Mx in pregnancy Mx in adult male

3. Signs and symptoms Dysuria Frequency Polyuria Fever Flank pain Suprapubic pain

4. Adult Female Signs and Symptoms of UTI Multiple symptoms Trimethoprim or Nitrofurantoin for 3/7-no improvement-culture Fever/back pain consider UUTI Limited sym<2 Dipstick +ve Dipstick -ve Offer Abx Vaginal itch

5. UUTI Signs and symptoms ? Systemic symptoms No-Ciprofloxacin for 7/7 and urine culture. No response Yes-admit

6. Pregnancy Symptomatic Obtain urine culture Treat with Antibiotic Recheck urine 7/7 after completion of course

7. Trimethoprim not in 1st trimester Sulphonamides-haemolysis Tetracycline-skeletal abn Quinolones Nitrofurantoin-neonatal haemolysis

8. Screening for assym bacteruria 1st antenatal visit-urine culture Not dipstick Culture +ve -confirm and treat Repeat urine culture at each antenatal visit Culture -ve not for rpt cultures

9. Men and UTI’s Sym and signs DDx All men take a urine culture Rx 2/52 with a quinolone Fever/Back pain UUTI-2/52 of quinolone Recurrent Refer for Ix

10. Children Clean catch or MSSU <2 years Renal USS MCUG-6/52 2-7 DMSA after 3/12

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