Treating Students with Urinary Tract Infections. Sara Mackenzie, MD, MPH Regional Health Specialist October 18, 2012. After this presentation, you will be able to:. Describe the prevalence of UTI in men and women Describe how to assess for uncomplicated UTI
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Sara Mackenzie, MD, MPH
Regional Health Specialist
October 18, 2012
UTI = urinary tract infection
Lower urinary tract: UTI=cystitis= bladder infection
Upper urinary tract: pyelonephritis=
> 250 million UTIs/yr
> $7 billion direct costs
> 7 million uncomplicated UTIs
> 250,000 acute pyelonephritis
> 4 million UTIs in pregnancy
> 1 million catheter-associated UTIs
22-year-old female who is otherwise healthy comes in to Health and Wellness complaining that “it hurts when I pee, I feel like I have to go right away, and I have to pee all the time”.
***Results of dipstick provide little additional useful information if history strongly suggestive of UTI!
*Uncomplicated UTI and pyelo 75-95% e.coli
Culture indicated if:
Empiric bactrim treatment should be avoided if local resistance patterns exceed 20%