UTI

UTI

1. Classification

   • Upper/ Lower UTI
   • Uncomplicated/ complicated
   • Initial/ Recurrent

2. Etiology & Pathophysiology

   • Organisms introduced via ascending route-Urethra
   • Associated w/ urological instrumentation
   • Sexual intercourse promotes " Milking" of bacteria from the vagina & perineum
   • Predisposing factors- BPH, tumour
   • Urinary tract - Normally streile
   • UTIs-associated w/ hospital

3. Common Micro Organisms

   • E. coil (80% of infection)

4. S&S

   • Weak urinary stream; Hestitancy; Intermittency; Post void dribbing; Retention; Dysuria; Pain on urination
   • Storage symptoms- Urinary frequency; Urgency; Incontinence; Nocturia; Norcutria enuresis

5. Dx Studies

   • Hx & physical Examination; Urinalysis; Urine for C&S; Imaging studies- IVP, CT, Renal ultrasound

6. Collaboration& drug therapy

   • Antibiotics
     • Empiric therapy or results of Sensitivity testing
       • Uncomplicated 1-3 days
         • Complicated 7-14 days
           • Urinary analgesic

7. Assessment

   • Health Hx- UTIs, Calculi, retention, bladder, urological instrumentation
   • N/V, chills, frequency, urgency, dysuria, burning, Lower back pain etc.

8. Intervention

   • Heat to suprabublic/ Lower back
   • Regular Voiding
   • Voiding after intercourse
   • Take full course of Abs
   • Avoid; caffeine, alcohol, juices, chocolate
   • Education about risk of recurrence & risk factors
   • Monitor urine ; colour & consitency
   • Adequant fluid intake