Urinary Tract Infections in Pregnancy
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Questions and Answers

What is one of the effective methods to prevent catheter-associated UTI?

  • Disinfectants in drainage bag
  • Limiting the duration of catheterisation (correct)
  • Application of soap/antiseptics to urethral meatus
  • Antiseptic/antibiotic irrigation of bladder

    • What is a characteristic of all catheters?

  • They are always sterile
  • They get colonised eventually (correct)
  • They are used only in women
  • They are used only in men

    • Why might some patients with clinical features of cystitis have negative urine cultures?

  • Low counts of bacteria
  • The presence of fastidious bacteria
  • The presence of sexually transmitted pathogens
  • All of the above (correct)

    • What is NOT a recommended treatment for catheter-associated bacteriuria?

    <p>Antimicrobials for all patients with catheter-associated bacteriuria</p> Signup and view all the answers

    What is the term used to describe the condition where patients with clinical features of cystitis have negative urine cultures?

    <p>Urethral syndrome</p> Signup and view all the answers

    Which type of catheter may be effective in preventing catheter-associated UTI?

    <p>Ag+-bonded catheters</p> Signup and view all the answers

    What percentage of uncomplicated lower UTI may resolve spontaneously in otherwise fit women?

    <p>50%</p> Signup and view all the answers

    What is the recommended duration of antimicrobial therapy for uncomplicated lower UTI?

    <p>3 days</p> Signup and view all the answers

    Which antimicrobial achieves very high urine concentrations?

    <p>Nitrofurantoin</p> Signup and view all the answers

    Which of the following antimicrobials should NOT be used empirically due to high rates of resistance?

    <p>Ampicillin/amoxicillin</p> Signup and view all the answers

    Which antimicrobial is NOT active against Proteus species?

    <p>Nitrofurantoin</p> Signup and view all the answers

    What is a potential complication of bacteriuria in pregnancy?

    <p>Increased risk of development of pyelonephritis</p> Signup and view all the answers

    What is a common symptom of cystitis in elderly patients?

    <p>Sudden onset of confusion</p> Signup and view all the answers

    What is the significance of a positive nitrite test in urinalysis?

    <p>Some bacteria may not produce nitrite</p> Signup and view all the answers

    What is the significance of epithelial cells in urine microscopy?

    <p>It suggests contamination</p> Signup and view all the answers

    What is a potential reason for a false negative leukocyte esterase test?

    <p>Patient taking antibiotics</p> Signup and view all the answers

    What is a potential complication of UTI in infants?

    <p>Failure to thrive</p> Signup and view all the answers

    What is a risk factor for urinary tract infection in children?

    <p>Family history of vesicoureteric reflux</p> Signup and view all the answers

    What is the recommended diagnostic step for children with fever and temperature > 38°C for > 24 hours?

    <p>Sending a urine sample</p> Signup and view all the answers

    What is the antibiotic of choice for treating lower urinary tract infections in children?

    <p>Amoxicillin</p> Signup and view all the answers

    What radiological investigation may be necessary for children with urinary tract infection?

    <p>Ultrasound of the kidneys</p> Signup and view all the answers

    What is the clinical term for the condition where patients present with symptoms of cystitis but have negative urine cultures?

    <p>Sterile pyuria</p> Signup and view all the answers

    In which age group is the efficacy of cranberries in preventing UTI questionable?

    <p>All of the above</p> Signup and view all the answers

    What is the potential benefit of antimicrobial prophylaxis for women with recurrent UTIs?

    <p>Preventing emergence of resistance</p> Signup and view all the answers

    According to the Cochrane review in 2008, what is the potential use of cranberry in UTI management?

    <p>Preventing recurrent UTIs in young women</p> Signup and view all the answers

    What is the recommended duration of antimicrobial prophylaxis for recurrent UTIs?

    <p>6 months</p> Signup and view all the answers

    What is an alternative approach to managing recurrent UTIs?

    <p>Self-medication with proanthocyanidins</p> Signup and view all the answers

    What is the recommended practice for post-menopausal women with recurrent UTIs?

    <p>Hormone replacement therapy</p> Signup and view all the answers

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