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Questions and Answers
What is the key method for diagnosing UTIs?
What is the key method for diagnosing UTIs?
- Urinalysis (correct)
- Physical examination
- Blood test
- X-ray
What can microscopic examination of urine indicate?
What can microscopic examination of urine indicate?
- The type of pathogen causing the infection
- The presence of bacteria
- The severity of the infection
- The presence of inflammation (correct)
What is the most reliable method to confirm a UTI diagnosis?
What is the most reliable method to confirm a UTI diagnosis?
- Urinalysis
- Blood test
- Physical examination
- Culture (correct)
What factors should be considered when selecting an antimicrobial for UTI treatment?
What factors should be considered when selecting an antimicrobial for UTI treatment?
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Which antibiotics are common regimens for uncomplicated cystitis?
Which antibiotics are common regimens for uncomplicated cystitis?
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What is the recommended treatment for uncomplicated cystitis?
What is the recommended treatment for uncomplicated cystitis?
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What is the first-line therapy for uncomplicated acute pyelonephritis?
What is the first-line therapy for uncomplicated acute pyelonephritis?
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Study Notes
- Symptoms consistent with UTIs are necessary for diagnosis.
- Urinalysis is key to diagnosing UTIs.
- Microscopic examination can indicate inflammation.
- Culture is the most reliable method to confirm diagnosis.
- Antimicrobial selection should consider coverage of common pathogens, local susceptibility patterns, adverse effects, drug interactions, cost, and adherence.
- Common regimens for uncomplicated cystitis include trimethoprim/sulfamethoxazole and fluoroquinolones.
- Recommended regimens for uncomplicated cystitis include nitrofurantoin, fosfomycin, and β-Lactams as alternatives.
- Fluoroquinolones or trimethoprim/sulfamethoxazole are first-line therapy for uncomplicated acute pyelonephritis.
- A longer therapy duration is required for uncomplicated acute pyelonephritis than for uncomplicated cystitis.
- Asymptomatic bacteriuria should only be treated in pregnant women or in patients who will undergo endoscopic urologic procedures with mucosal damage.
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