UTI women Flashcards
define UTI
infection of the bladder caused by bacteria from the GI tract
define uncomplicated UTI
UTI caused by typical pathogens in people with a normal urinary tract and kidney function, and no predisposing co-morbidities.
define complicated UTI
UTI with an increased likelihood of complications such as persistent infection, treatment failure and recurrent infection.
risk factors of complicated UTI
structural or neurological abnormalities of the urinary tract, urinary catheters, virulent or atypical infecting organisms and co-morbidities such as poorly controlled diabetes mellitus or immunosuppression.
define recurrent UTI
two or more episodes of UTI in six months or three or more episodes in one year. It is more common in women and can be due to:
Relapse — infection due to the same strain of organism or,
Reinfection — infection due to a different organism.
causative pathogen of incontinence
Escherichia Coli
stapgulococcus saprophyticus
proteus mirabilis
klebsiella
risk factors for recurrent UTI in young pre-menopausal women
Sexual intercourse.
Past medical history of UTI in childhood.
Having a mother with history of UTI.
risk factors for recurrent UTI in post menopausal women
- History of UTI before menopause.
- Urinary incontinence.
- Atrophic vaginitis.
- Cystocele.
- Increased post-void urine volume.
- Urine catheterisation and reduced functional status in elderly institutionalised women.
complications of lower UTI
pyelonephritis renal abscess peri-renal abscess impaired renal function renal failure urosepsis
features of lower UTI
dysuria urinary frequency urinary urgency cloudy/offensive smelling urine lower abdominal pain fever: typically low-grade in lower UTI malaise nocturia
when do u send off a sample
Are pregnant.
Are older than 65 years.
Have symptoms that are persistent or do not resolve with antibiotic treatment.
Have recurrent UTI (2 episodes in 6 months or 3 in 12 months).
Have a urinary catheter in situ or have recently been catheterised.
management of lower UTI in women
nitrofurantoin - 100mg twice for 3 days
trimethoprim - 200mg twice for 3 days
