Zusammenfassung der Ressource
Urinary Tract Infections
- women
- bacteria ascend the urethra to the bladder
- Escherichia coli
- commonest
- Staphylococcus saprophyticus
- younger women
- types
- Complicated
- urinary
instrumentation,
anatomic
abnormalities, and
obstruction of urine
flow
- Uncomplicated
- young women
- Sexual activity
- Upper Tract Disease
- pyelonephritis
- Symptoms
- Fever
- Nausea, vomiting
- Pain in the costovertebral
areas
- dysuria
- therapy
- intravenous antibiotics
for 10-14 days
- large amount of water
- kidney parenchyma
- PATHOGENESIS
- hematogenous
- S. aureus,
Salmonella
species, P.
aeruginosa, and
Candida species
- ascending route
- E. coli, P.
mirabilis ,K.
pneumoniae
- lower Tract Disease
- Cystitis
- Dysuria, urinary urgency
and frequency, bladder
fullness/discomfort
- Most common UTI
- Bacterial
- Most common
- 1st e.coli, 2nd
Staphylococcus
saprophyticus
- Viral
- Adenoviruses
- Severe bladder irritation , sometimes
hemorrhagic
- self limited
- Fungal
- immunocompromised
- Candida and aspergillus
- Amphotericin , ketoconazole
- parasite
- Urinary Schistosomiasis
- schistosoma haematobium
- haematuria and fibrosis
- Praziquanetel
- UTI in children
- enuresis, fever,
poor weight gain
- Urethritis
- sexual activity
- Dysuria
- purulent discharge
- gonococcal
- Treatment
- Ceftriaxone - Gonorrhea
- Acute urethral syndrome
- NOT caused by a urinary tract infection
- Symptoms are similar to those
caused by a urinary tract
infection
- ACUTE Prostatitis
- bacterial infection
- Men ages 20 - 35 who
have multiple sexual
partners
- medical emergency
- Asymptomatic bacteriuria
- significant number of bacteria in
the urine that occurs without
usual symptoms.
- WBC count in urine elevated
- others
- Perinephric abcess
- start in the bladder> kidney > area around the kidney.
- infection
- Stones
- drain pus & IV antibiotics
- Genitourinary Tuberculosis
- Sterile pyuria
- Renal TB
- Formation of granulomas > caseation and tissue destruction.
- Calcification and scarring
- Tuberculous ureteritis
- Results from renal tuberculosis
- Scarring > obliteration of the ureter
- Tuberculous cystitis
- Fibrosis and fistulas
- Gulf-hole orifice
- UTI in Women
- Short urethra
- Estrogen deficiency
- proximity to anus
- Bacterial Virulence Factors
- Flagella- enhanced motility
- hemolysin -> cell lysis
- fimbriae & adhesin -> adhere to cells
- treatment
- anti- pathogens