Chapter 37 Urinary Tract Infections Flashcards

Exam 3

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1
Q

UTIs is one of the most common what?

A

Bacterial infections

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2
Q

UTIs affected men or women more?

A

Womens

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3
Q

Isolation of bacteria from the urine in significant quantities is what?

A

Asymptomatic bacteriuria (ASB)

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4
Q

This system is normally resistant to colonization and subsequent bacterial infection

A

Urinary system

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5
Q

What are some urine characteristics

A

Extremely high osmolarity
Low pH
Very dilute

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6
Q

This affects what age group due to low incidence unless GU abnormalities

A

Pediatrics

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7
Q

This affects what age group due to UTIS are associated with long-term medical problems

A

Adults to age 65

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8
Q

How can bacteria gain access to the urinary tract

A

Ascending route
Hematogenous route
Lymphatic pathways

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9
Q

Gram-positive bacteria of UTIs may enter the body by how?

A

Ascending route

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10
Q

What type of Gram-negative bacilli causes most uncomplicated UTIs?

A

Escherichia coli

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11
Q

What type of Gram-positive cocci causes UTIs?

A

Group B streptococci
Enterococci
Staph. sap
Staph. epidermidis

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12
Q

This method is the definitive method for collecting uncontaminated specimens

A

Suprapubic aspiration

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13
Q

What is the preferred amount of urine to be collected

A

10-20 mL

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14
Q

Are 24-hour collections satisfactory specimens

A

No they are unsatisfactory

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15
Q

What preservatives are used to preserve urine

A

Sodium borate

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16
Q

How do you culture urine?

A

One nonselective (SBA) and one selective medium (MAC)

17
Q

a colony count of 10,000 or greater is what type of catch and how many organisms

A

Clean catch and one or two organisms

18
Q

A sterile collection of any colony count is considered to be what?

A

Catheter

19
Q

Specimens with multiple uropathogens (3 or more) is what?

A

probably contamination