1. Urinary Tract Infection (UTI) Salman Atshan, Phd Medical Microbiology University College for Humanities/2014

2. Epidemiology Risk factors for UTI Gender Anatomic factors Physical factors Metabolic factors Hospitalization

3. Etiology Common etiology agents Hospitalized etiology Infrequent etiology agents

4. Clinical manifestations: -Lower urinary tract infections Urethritis Cystitis Prostatitis -Upper urinary tract Infections: Pyelonephritis

5. Diagnosis of UTI Physical Exam: CVA tenderness (pyelonephritis) Urethral discharge (urethritis) Tender prostate on DRE (prostatitis) Labs: Urinalysis, Urine culture Urinalysis- + leukocyte esterase + nitrites More likely gram-negative rods + WBCs + RBCs

6. Diagnosis of UTI

7. Culture - Positive Urine Culture = >10 5 CFU/mL

8. Treatment Trimethroprim/Sulfamethoxazole for 3 days May use fluoroquinolone (ciprofoxacin or levofloxacin) in patient with sulfa allergy, areas with high rates of bactrim-resistance.