#231 U Talkin’ UTIs Re: Me?

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 24 August 2020

⏱️ 68 minutes

🔗️ Recording | iTunes | RSS

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Summary

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).

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*

*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...

Define UTI and feel confident making the diagnosis of UTI based on lab tests, history and exam findings
Differentiate between complicated and uncomplicated UTI
Recognize how UTI may presents differently in differ groups (paraplegic, chronic foley catheter, men and women)
Choose the appropriate antibiotic and duration with an eye towards antibiotic stewardship
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.

Transcript

Click on a timestamp to play from that location

0:00.0	The Curb Siders have partnered with VCU Health Continuing Education to offer free continuing
0:04.8	education credits for physicians and other healthcare professionals.
0:07.8	Check out curbciders.vcuhealth.org to create your free account and to start claiming CE
0:13.2	credit.
0:14.7	The Curb Siders podcast is for entertainment, education, and information purposes only.
0:20.5	And the topics discussed should not be used only to diagnose treat your or prevent any
0:23.2	disease or conditions.
0:24.2	For the more the views and statements expressed on this podcast are solely those of those
0:26.0	that should not be interpreted to reflect official policy or position of any entity
0:28.0	aside from possibly cash like more hospital and affiliate outreach programs.
0:30.3	If indeed there are any, in fact there are not.
0:32.2	Pretty much we aren't responsible if you screw up, you should always do your own homework
0:34.1	and let us know when we're on.
0:37.6	Paul, this was a really fun episode for me mainly because the names just did a such
0:51.4	a great job of riling you up.
0:53.9	And I have to say all three names made no sense and it was totally accidental that they
1:00.3	were so irritating to you but I could not be more delighted by that.
1:04.1	Yeah, no it was a bonus that you were just not really not sensitive but at least awful
1:08.5	puns on top of that so really just good times had by all.
1:12.3	And we are going to talk about urinary tract infections with our guest Dr. Bahuma Ditanji
1:18.0	who is fantastic but before we get to her and her bio, Paul can you tell the audience what
1:23.0	do we do on this show?
	...

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