Condition Info - BotMed Application

ConditionName

Cystitis (Lower UTI)

ConditionDescription

Symptoms

RLQ; LLQ abdominal pain; Low grade fever; 
Frequency; urgency; burning; dysuria; suprapubic pain; 
Complicated UTI:
Stones;
Structures;
Tumor;
Abstraction; 

Elderly presentation:
Alternated mental status;
Confusion;
Urinary incontinence;

PhysicalFindings

ClinicalTests

UA:
WBC;
Bacteria in urine (important for pregnant female);
Pyuria: leucocytes esterase and nitrates;
Gr gram+: no nitrates (Staph.S, Strep B, enterococcus sp.);

Nitrates:
Positive: Enterobacteriaceae (E.Coli);
Negative: S saprophyticus, Pseudomonas, or enterococci. 

Urinalysis (microscopic);
Numerous WBCs, variable RBCs;

Urine culture:
Colony-forming units>105;

RiskFactors

Female > male (b/c of anatomy); 
Female > male;
Female
Recent sexual intercourse;
Bladder outlet obstruction;
Foley catheter;
Immunocompromised;
DM;
Sex intercourse;
Pregnancy;
Age (may be asymptomatic, altered mental status);
Antibiotics use;
Recent stay in long term care facility;
Recent travel.

IsRedFlag

IsNPLEX

Consequence

Pyelonephritis (flank pain, big fever);
Abscess (rare);

ProgressionFromCondition

E.coli (main cause);
S.saprophyticus;
Enterobacter;
Enterococcus;
Proteus mirabilis;
Klebsiella pneumoniae;
Pseudomonas;

TreatmentOptions

Research shows bearberry is effective in inhibiting the growth of two bacteria (Escherichia coli and Enterococcus faecalis) that cause UTIs.

PharmOptions

Nitrofrantoin;
Amoxicillin;
TMP-SMX;

Pregnancy:
Amoxicillin;
Nitrofurantoin;

WebLink

https://www.merckmanuals.com/en-ca/professional/genitourinary-disorders/urinary-tract-infections-utis/bacterial-urinary-tract-infections