Urinary Tract Urinary Tract Infections Infections By: Randy BonnellBy: Randy Bonnell

What is a UTI? What is a UTI?

A UTI is the A UTI is the presence of presence of microorganisms in microorganisms in any urinary system any urinary system structure.structure.

Clinical manifestationsClinical manifestations

The common S/S The common S/S associated with associated with UTI’S are Urgency , UTI’S are Urgency , frequency, burning frequency, burning on urination and on urination and microscopic to gross microscopic to gross hematuria hematuria

LABS / DIAGNOSTICSLABS / DIAGNOSTICS

Urine culture and bacteriologic test Urine culture and bacteriologic test confirm the diagnosis.confirm the diagnosis.

Pts with repeated UTI’s a more detailed Pts with repeated UTI’s a more detailed urologic study is needed like a IVP urologic study is needed like a IVP

Microscopic inspection of urine often Microscopic inspection of urine often reveals bacteria, hematuria and pyuria reveals bacteria, hematuria and pyuria

Medical managementMedical management

The goal is to eliminate The goal is to eliminate bacteria from the urinary bacteria from the urinary tract, thereby relieving tract, thereby relieving symptoms, preventing symptoms, preventing damage to renal damage to renal structures, and structures, and preventing the spread of preventing the spread of infections to other body infections to other body systems systems

Nursing InterventionsNursing Interventions

Comfort measures like a regimen of anti-Comfort measures like a regimen of anti-infective agents and urinary analgesics infective agents and urinary analgesics like……..like……..

Phenazopyridine ( pyridium )Phenazopyridine ( pyridium )

                           

 

                     

  

Pt Education includes Pt Education includes

Teaching adequate hydration Teaching adequate hydration Hygiene like perineal care Hygiene like perineal care And pt education for pts that practice And pt education for pts that practice

self-catheterization should include return self-catheterization should include return demonstration to evaluate the success of demonstration to evaluate the success of maintaining clean techniquemaintaining clean technique

And Cranberry has been used to prevent And Cranberry has been used to prevent UTI’s UTI’s

PrognosisPrognosis

Some women suffer from recurrent urinary tract Some women suffer from recurrent urinary tract infections:infections:

20% of women who have had one urinary tract 20% of women who have had one urinary tract infection (UTI) will have one recurrence infection (UTI) will have one recurrence

30% of those women will have more than one 30% of those women will have more than one recurrence recurrence

The recurrent infection usually stems from a The recurrent infection usually stems from a different strain or type of bacteria from the different strain or type of bacteria from the original urinary tract infection (UTI) original urinary tract infection (UTI)

PICTURESPICTURES