Infection by systems (UTI) Flashcards
Which of these is a gram -ve bacteria?
a. Staphylococcus aureus
b. Streptococcus pneumoniae
c. Bacillus
d. Klebsiella pneumoniae
d. Klebsiella pneumoniae
Pseudomonas aeruginosa is well known to be found in
hospital env
The most common form of coliforms are
E.coli & klebsiella pneumoniae
Factors of UTI
- age (elderly)
- reduced mobility after surgery or prolonged bed rest
- prolonged use of urinary catheters
- pregnancy
- UT blockages eg. kidney stones
In upper UTI, parts affected are:
ureters & kidneys
S&S of upper UTI
- pain and tenderness in the upper back and sides
- chills
- fever
- nausea
- vomiting
Antibiotic options for upper UTI
Start with IV, followed by PO
Treatment duration of upper UTI
7-14 days
Upper UTI samples to send:
same as lower UTI, blood culture (septic)
S&S of lower UTI
- burning with urination
- increased urgency of urination
- bloody urine
- cloudy urine
- urine that looks like cola or tea
- strong odor urine
- pelvic pain in women
- rectal pain in men
Treatment duration of lower UTI
3-7 days (men require longer course than women)
Samples to send for lower UTI
- Mid stream urine culture
- Bag/ suprapubic urine (children)
- Catheter sample
Samples to send for catheter-related UTI
Catheter sample
rmb: dipstix/UFEME results become unreliable
Gram -ve bacilli associated with UTI
E.coli, Klebsiella pneumonia, proteus, enterobacter, pseudomona aeruginosa
Gram +ve bacilli associated with UTI
enterococcus
