#231 U Talkin’ UTIs Re: Me?

The Curbsiders Internal Medicine Podcast

Are U Talkin’ UTIs Re: Me? Infectious Diseases expert, Dr Boghuma Titanji MD, PhD @boghuma (Emory; TED) schools us on the diagnosis and management of urinary tract infections: updated definitions of complicated and uncomplicated UTI, pitfalls of the urinalysis, first line antibiotics, duration of therapy and which agents to use for complicated UTI. This episode is liquid gold!

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).

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Credits

• Written and Produced by: Matthew Watto MD, FACP
• Cover Art and Infographic by: Edison Jyang
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Editor: Molly Heublein MD (written materials); Clair Morgan of nodderly.com
• Guest: Boghuma Kabisen Titanji MD, PhD

Sponsor - VCU Health CE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

Time Stamps

• Sponsor - VCU Health Continuing Education
• 00:30 Intro, disclaimer, guest bio
• 02:50 Guest one-liner, Picks of the Week*: Urban gardening, Behave (book) by Robert Sapolsky
• 08:54 Defining UTI; Framework for UTI
• 16:35 Case 1 - Cath Foley; Acute uncomplicated cystitis; Interpreting the Urinalysis
• 28:00 Women with recurrent UTIs
• 38:55 Case 2 - UTI in a man
• 47:15 Treatment of complicated infections; Duration of therapy
• 52:27 Case 3 - Catheter associated UTI; MRSA UTI
• 61:25 Duration of therapy for bacteremia from UTI
• 64:40 Take home points, plugs and outro
• Sponsor - VCU Health Continuing Education

Links*

1. Behave (book) by Robert Sapolsky
2. Boghuma’s blog theiddoc.net
3. Boghuma’s TED Talk
4. Emory’s ID fellowship program

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Goals

Listeners will appropriately recognize, diagnose and treat the various presentations of urinary tract infection.

Learning objectives

After listening to this episode listeners will...

1. Define UTI and feel confident making the diagnosis of UTI based on lab tests, history and exam findings
2. Differentiate between complicated and uncomplicated UTI
3. Recognize how UTI may presents differently in differ groups (paraplegic, chronic foley catheter, men and women)
4. Choose the appropriate antibiotic and duration with an eye towards antibiotic stewardship
5. Determine an approach to the patient with recurrent UTIs, including who may benefit from long term antibiotic prophylaxis.

Disclosures

Dr Titanji reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Citation

Titanji BK, Williams PN, Watto MF. “#231 U Talkin’ UTIs Re: Me”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date August 24, 2020.