Urinary Tract Infections (UTI’S) Flashcards
What is the most common infection and second most common bacterial disease in women?
Urinary Tract infections
What are causes of Urinary Tract Infections?
Most common pathogen - E. Coli
Second - Candida albicans; indwelling catheter or asymptomatic colonization.
Fungal and parasitic - Uncommon
What happens when Ureterovesical junction doesn’t work?
Patient will become incontinent.
What are some risk factors for a UTI?
- Obstructions
- Retention
- Renal Impairment
- Foreign bodies
- Anatomical factors
- Compromised immune response
- Functional disorders
- Other factors
What should you do before giving an antibiotic?
Obtain a culture prior to starting the antibiotic, and it needs to be handled quickly as well as administer fluids.
What are clinical manifestations of a UTI?
- Lower urinary tract symptoms (LUTS)
Emptying symptoms
Storage symptoms
He matures and/or cloudy appearance - Upper urinary tract symptoms
Flank pain, chills, fever, fatigue, anorexia, or asymptomatic.
Older adults; classic manifestation absent
How do we confirm a finding of a Urinary Tract Infection?
Urinalysis (UA)
What is asymptomatic bacteriuria?
Colonization of bacteria in the bladder; screen and treat with pregnancy.
How do we diagnose a Urinary Tract Infection?
- Initial: dipstick for nitrates, WBC’s and leukocyte esterase.
- Urine culture/Sensitivity
- History
- Recurring UTI’S More than 2 to 3 a yr
- Complicated UTIs
- CAUTIs or HAI UTIs
- UTI Unresponsive to empiric therapy
- Imaging ultrasound or CT scan
How do we manage a UTI?
Adequate fluids
Drug therapy - phenazopyridine and antibiotics
What do we need to teach a patient when treating a UTI?
- Drink adequate fluids to prevent kidney damage
- Urine may change in color
How do you get a patients perception of their own health?
Ask them
How should you wipe to prevent infection?
Always from the front to the back NOT back to front.
