28 Questions
What is one of the effective methods to prevent catheter-associated UTI?
Limiting the duration of catheterisation
What is a characteristic of all catheters?
They get colonised eventually
Why might some patients with clinical features of cystitis have negative urine cultures?
All of the above
What is NOT a recommended treatment for catheter-associated bacteriuria?
Antimicrobials for all patients with catheter-associated bacteriuria
What is the term used to describe the condition where patients with clinical features of cystitis have negative urine cultures?
Urethral syndrome
Which type of catheter may be effective in preventing catheter-associated UTI?
Ag+-bonded catheters
What percentage of uncomplicated lower UTI may resolve spontaneously in otherwise fit women?
50%
What is the recommended duration of antimicrobial therapy for uncomplicated lower UTI?
3 days
Which antimicrobial achieves very high urine concentrations?
Nitrofurantoin
Which of the following antimicrobials should NOT be used empirically due to high rates of resistance?
Ampicillin/amoxicillin
Which antimicrobial is NOT active against Proteus species?
Nitrofurantoin
What is a potential complication of bacteriuria in pregnancy?
Increased risk of development of pyelonephritis
What is a common symptom of cystitis in elderly patients?
Sudden onset of confusion
What is the significance of a positive nitrite test in urinalysis?
Some bacteria may not produce nitrite
What is the significance of epithelial cells in urine microscopy?
It suggests contamination
What is a potential reason for a false negative leukocyte esterase test?
Patient taking antibiotics
What is a potential complication of UTI in infants?
Failure to thrive
What is a risk factor for urinary tract infection in children?
Family history of vesicoureteric reflux
What is the recommended diagnostic step for children with fever and temperature > 38°C for > 24 hours?
Sending a urine sample
What is the antibiotic of choice for treating lower urinary tract infections in children?
Amoxicillin
What radiological investigation may be necessary for children with urinary tract infection?
Ultrasound of the kidneys
What is the clinical term for the condition where patients present with symptoms of cystitis but have negative urine cultures?
Sterile pyuria
In which age group is the efficacy of cranberries in preventing UTI questionable?
All of the above
What is the potential benefit of antimicrobial prophylaxis for women with recurrent UTIs?
Preventing emergence of resistance
According to the Cochrane review in 2008, what is the potential use of cranberry in UTI management?
Preventing recurrent UTIs in young women
What is the recommended duration of antimicrobial prophylaxis for recurrent UTIs?
6 months
What is an alternative approach to managing recurrent UTIs?
Self-medication with proanthocyanidins
What is the recommended practice for post-menopausal women with recurrent UTIs?
Hormone replacement therapy
This quiz covers the symptoms, risks, and complications of urinary tract infections (UTIs) in pregnant women, including their impact on fetal development and maternal health. Learn about the signs and symptoms of UTIs, such as frequency, dysuria, and urgency, and the potential risks of premature delivery, low birth weight, and perinatal morbidity. Test your knowledge of UTIs in pregnancy!
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