Huena Quiz

What is currently NOT used in rUTI

• Nitrofurantoin
• Cranberry
• Metronidazole
• Trimethoprim

Why is Methenamine Hippurate Relevant today

• Due to rising AMR
• Due to global warming
• Due to poor air quality
• Due to poor waste management

This was an earlier salt of Methenamine Hippurate

• Methenamine Aspartate
• Methenamine Benzoate
• Methenamine Mandelate
• Methenamine Ascorbate

How does MH reach the urinary bladder

• Ionised
• Oxidised
• Digested
• Unchanged

What pH is required for MH

• >2.5
• <6.0

• >6.5
• >7.5

MH breaks up into

• Hippuric Acid & Formaldehyde
• Methenamine & Urease
• Hippuric salt & Acetate
• Hippuric Acid & Alkaline salts

Which is the Landmark trial for MH

• Alter trial
• Compost Trial
• Altar Trial
• Spectrum Trial

Landmark trial DOES NOT include

• Nitrofurantoin
• Cranberry
• Cefalexin
• Trimethoprim

MH is relevant in catherisation as it

• doubles cather life
• halves catheter life
• tripples catheter life
• keeps catheter life same

MH is ____________ in rUTI

• safe & effective
• poor adherence
• increases side effects
• not relevant