URINARY TRACT INFECTION
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Tutor Samm
Tutor Sammy
, Urine culture: over 100,000 organisms per milliliter of
URINARY TRACT urine.
INFECTION THERAPEUTIC MANAGEMENT
Course Outline Urine culture and sensitivity
Antibiotics: amoxicillin, ampicillin, and cephalosporins
UTI DURING PREGNANCY Sulfonamides: safe in early pregnancy however in near
ASSESSMENT FOR PREGNANT WOMEN WITH UTI term it can interfere with protein binding bilirubin that
THERAPEUTIC MANAGEMENT FOR UTI PREGNANCY leads to hyperbilirubinemia.
Tetracyclines: contraindicated because it can cause bone
UTI DURING PREGNANCY growth retardation and staining of deciduous teeth.
Promote increased amount of fluid [3 to 4L/day] to flush
4% to 10% of nonpregnant women have asymptomatic out infection.
bacteriuria. In pregnant women, because of progesterone, Promote urine drainage by knee-chest position for 15
stasis of urine can occur. There is also minimal presence of minutes morning & evening,
glycosuria that also occurs with pregnancy provides an ideal
Pyelonephritis: 24-48 hours IV antibiotics, nitrofurantoin
medium for growth of any organism present.
for the remainder of her pregnancy, ascorbic acid.
Asymptomatic infections are potentially dangerous because After birth UTI. Ultrasound to detect urinary tract
they can progress to the kidneys [pyelonephritis] and are abnormality such as vesicoureteral reflux to prevent future
associated with preterm labor and premature ruptured of infections.
membrane. Women with vesicoureteral reflux can develop UTIs
or pyelonephritis. BACKGROUND
Escherichia coli are bacteria that is responsible for UTI that is an Urinary tract infection is common and painful human illness
ascending infection, while descending infection can also occur. that is responsive to modern antibiotic therapy. The most
It begins in the kidneys from the filtration of organisms present common manifestation of UTI is acute cystitis because it is more
from other body infections. prevalent among women.
If streptococcus B is detected, vaginal cultures should be DEFINITIONS OF UTI
obtained because it is associated with pneumonia in newborns.
UTI may be asymptomatic [subclinical infection] or symptomatic
[disease].
ASSESSMENT FOR PREGNANT WOMEN WITH UTI
Frequent urine and dysuria. ▪ Asymptomatic bacteriuria [ASB] occurs in the absence
of symptoms and usually does not require treatment.
Pain in lumbar region especially on the right side that
radiates downward [pyelonephritis]. ▪ Cystitis – symptomatic infection of the bladder.
The RLR is tender to palpate. ▪ Urethritis – inflammation of ureter.
May have accompanying nausea and vomiting, malaise, ▪ Pyelonephritis – symptomatic infection of the kidneys.
pain, and frequency of urination. ▪ Uncomplicated urinary tract infection – acute cystitis or
Temperature may be slightly elevated or 39 degrees to 40 pyelonephritis without anatomic abnormalities or
degree Celsius. instrumentation of urinary tract.
Infection is usually on the right because there’s greater ▪ Complicated UTI – encompasses all other types of UTI
compression & urinary stasis on the right ureter from the ▪ Recurrent UTI – not necessarily complicated; individual
uterus being pushed that way by the large bulk of intestine episodes and can be uncomplicated and treated as
on the left side. such.
▪ Catheter-associated bacteriuria
Tutor Sammy
Your go-to hub for high-quality nursing
note,
summary and exam preps
Tutor Samm
Tutor Sammy
, Urine culture: over 100,000 organisms per milliliter of
URINARY TRACT urine.
INFECTION THERAPEUTIC MANAGEMENT
Course Outline Urine culture and sensitivity
Antibiotics: amoxicillin, ampicillin, and cephalosporins
UTI DURING PREGNANCY Sulfonamides: safe in early pregnancy however in near
ASSESSMENT FOR PREGNANT WOMEN WITH UTI term it can interfere with protein binding bilirubin that
THERAPEUTIC MANAGEMENT FOR UTI PREGNANCY leads to hyperbilirubinemia.
Tetracyclines: contraindicated because it can cause bone
UTI DURING PREGNANCY growth retardation and staining of deciduous teeth.
Promote increased amount of fluid [3 to 4L/day] to flush
4% to 10% of nonpregnant women have asymptomatic out infection.
bacteriuria. In pregnant women, because of progesterone, Promote urine drainage by knee-chest position for 15
stasis of urine can occur. There is also minimal presence of minutes morning & evening,
glycosuria that also occurs with pregnancy provides an ideal
Pyelonephritis: 24-48 hours IV antibiotics, nitrofurantoin
medium for growth of any organism present.
for the remainder of her pregnancy, ascorbic acid.
Asymptomatic infections are potentially dangerous because After birth UTI. Ultrasound to detect urinary tract
they can progress to the kidneys [pyelonephritis] and are abnormality such as vesicoureteral reflux to prevent future
associated with preterm labor and premature ruptured of infections.
membrane. Women with vesicoureteral reflux can develop UTIs
or pyelonephritis. BACKGROUND
Escherichia coli are bacteria that is responsible for UTI that is an Urinary tract infection is common and painful human illness
ascending infection, while descending infection can also occur. that is responsive to modern antibiotic therapy. The most
It begins in the kidneys from the filtration of organisms present common manifestation of UTI is acute cystitis because it is more
from other body infections. prevalent among women.
If streptococcus B is detected, vaginal cultures should be DEFINITIONS OF UTI
obtained because it is associated with pneumonia in newborns.
UTI may be asymptomatic [subclinical infection] or symptomatic
[disease].
ASSESSMENT FOR PREGNANT WOMEN WITH UTI
Frequent urine and dysuria. ▪ Asymptomatic bacteriuria [ASB] occurs in the absence
of symptoms and usually does not require treatment.
Pain in lumbar region especially on the right side that
radiates downward [pyelonephritis]. ▪ Cystitis – symptomatic infection of the bladder.
The RLR is tender to palpate. ▪ Urethritis – inflammation of ureter.
May have accompanying nausea and vomiting, malaise, ▪ Pyelonephritis – symptomatic infection of the kidneys.
pain, and frequency of urination. ▪ Uncomplicated urinary tract infection – acute cystitis or
Temperature may be slightly elevated or 39 degrees to 40 pyelonephritis without anatomic abnormalities or
degree Celsius. instrumentation of urinary tract.
Infection is usually on the right because there’s greater ▪ Complicated UTI – encompasses all other types of UTI
compression & urinary stasis on the right ureter from the ▪ Recurrent UTI – not necessarily complicated; individual
uterus being pushed that way by the large bulk of intestine episodes and can be uncomplicated and treated as
on the left side. such.
▪ Catheter-associated bacteriuria
Tutor Sammy
