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681810
Urinary Tract Infections
Description
Mind Map on Urinary Tract Infections, created by Zulhilmi Zainal on 27/03/2014.
Mind Map by
Zulhilmi Zainal
, updated more than 1 year ago
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Created by
Zulhilmi Zainal
over 10 years ago
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Resource summary
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
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