Chronic Urinary Tract Infection: A Case Study

Urinary Tract Infections (UTI) are miserable. Recurrent ones are a whole other level of misery. But, you don't have to just resign yourself to suffering. Many people have managed to stop having a UTI every time they turn around by making changes to their diet and hygiene habits.

Cano, the patient is status post right carnal tunnel release. She has been on physical therapy for the last three weeks. She states she is doing much, much better. Her left hand will be operated on 5/03/16. She complains of severe insomnia. This has been chronic with headaches and chronic depression. She states she is hearing voices, hearing auditory hallucinations with paranoia. This started after the oral steroids. She is psychotic and severely depressed. There is a past history of post-traumatic stress disorder (PTSD), generalized anxiety, and chronic depression. Previous antidepressants included Celexa, BuSpar and Xanax. She states she has been clean. There is no evidence of any type of drugs in her. She brought what she had and had thrown those out and had detoxed a few months

Urinary tract infection also referred to as UTI is the second most common infection in the body. The urinary tract system in your body which includes the bladder and kidneys makes urine and carries it out of your body. When germs get into the urinary tract system an infection is typically formed. UTI’s are usually caused when unwanted bacteria enters through the urethra and begins to multiply (www.mayoclinic.org). The bacteria that are normally found in the large intestine and feces are the most common source of a UTI. Sexual intercourse is one of the common causes of urinary tract infections for women, causing bacteria to move up into the urinary tract. Sometimes in a hospital setting a patient who is on a catheter can also get a urinary tract infection.

We also incorporated Evidence-based practice into our home health agency in many different ways. One example of how evidence-based practice is incorporated into our practice on a daily basis is interventions utilized to prevent catheter-related urinary tract infections (CAUTI). Many of the patients we provide care for have indwelling urinary catheters, complete intermittent catheterization on a scheduled basis or have suprapubic catheters. As healthcare providers, we are aware of the possible negative outcomes of inadequate catheter care. This is why we incorporate interventions to promote proper catheter care in our home health agency utilizing evidence-based practice. Based off of evidence, “ Because the incidence of complications rises

This is 35 year old WM. Patient was seen at UAB ED for UTI and kidney stone on 3/30/2016. Patient was discharged with roboxin and ibuprofen. Patient has a history of Hep C, was told about 12 years ago, and was retested at UAB and HVC was positive. Patient is a current resident at the Villige. Patient has a history of substance abuse, denies current use, last use about 10 days ago. Patient is a current tobacco user, denies use of alcohol or illicit drugs. Patient reports some depressive moods, denies thoughts of suicide or

Based on the medical report dated 04/14/16, the patient presents for medication maintenance. He reports ongoing pain, withdrawal symptoms such as increased pain,

According to the United States Centers for Disease Control and Prevention (2015), urinary tract infections (UTIs) are among the most prevalent healthcare associated infections with 93,300 healthcare related UTIs diagnosed in 2011. Seventy five percent of healthcare acquired UTIs are catheter associated urinary tract infections (CAUTI). Because of this, major efforts, including the creation of preventive guidelines, have been made worldwide to reduce the numbers of these infections. These guidelines center on using catheters only when they are needed and only for as long as they are needed. They include specific situations in which catheters should be used which mostly include operative procedures or medical situations that would require

A review of the medical records indicates that he suffers from multiple medical illness, which includes chronic COPD/heart failure for which he is oxygen dependent due to debilitating shortness of breath, chronic stable HTN-manage with medication, chronic stable hyperlipidemia-manage with medication, chronic poorly controlled anemia, chronic GERD, chronic phantom limb syndrome with pain- LAKA. He also has a history of DVT. He has had multiple hospitalization. His last hospitalization was in April for pneumonia. He is current on antibiotic therapy fro pneumonia.

Catheter-associated urinary tract infections (CAUTIs) are caused by transmission of bacteria to the urinary tract via the urinary catheter during catheter insertion, via the catheter lumen, or by handling of the catheter drainage bag (Mori, 2014). Urinary tract infections (UTIs) account for about 35% of hospital-acquired infections (HAIs) and about 80% of the UTIs are related to the presence of indwelling urinary catheter (IUC). CAUTIs are a significant problem affecting the patients as well as the health care system as they are linked with increased morbidity and mortality, increased health care expenses, and extended hospitalization (Gould, 2015).

Urinary tract infection (UTI) attributed to the use of an indwelling urinary catheter is one of the most common infection acquired by patients in health care facilities (Nicolle, 2014). To prevent UTI, limit the use of indwelling catheter, insert using aseptic technique, drainage bag must be below the bladder and maintain closed-drainage system (McCance, Brashers, and Rote, 2013). Resistance organism are usually common in chronic catheter users. In addition, CA-UTI are one of the most causes of secondary blood stream infection in acute care (Nicolle, 2014). The complications of chronic indwelling catheter are urinary catheter obstruction, urolithiasis, abscess, and prostatitis. However, non-infections complications are non-bacteria urethral inflammation, urethral stricture, mechanical trauma and mobility impairment (Nicolle 2014). Increased mortality and long hospital stay has been associated with CA-UTI.

Health care-associated infections are infections contracted as a result of receiving medical treatment in a healthcare facility. In 2014, the HAI Prevalence Survey reported an estimated 722,000 HAIs in United States acute care facilities with an approximate 93,300 reported as infections related to the urinary tract (U.S Department of Health and Human Services, 2016). One way of contracting a urinary tract infection is via catheterization. Indwelling catheterization is a procedure in which a tube inserted into the urinary bladder via the urethra and is left in place as a closed system for urinary drainage. This tube can also be a way for infection

Bacterial urinary tract infections represent the most common type of nosocomial infections. Often, the ability of bacteria to both establish and maintain these infections are directly related to biofilm formation on indwelling devices or within the urinary tract itself (30). Enterococci (especially E. faecalis) are one of the main causative agents of urinary tract infection and Catheter-associated urinary tract infections (CAUTIs) besides gram-negative pathogens (31, 32). In these infections Biofilm provides a favorable milieu for microbial survival within the host as the organisms are shielded from the host immune response, as well as antibiotics and antimicrobial agents (33, 34). Several studies conducted to introduce main virulence genes of enterococci that are associated with biofilm formation in these bacteria (11, 13,-17), but virulence mechanism and related genes for biofilm formation are not well understood (35). In this study we investigated biofilm formation of clinical enterococci isolates isolated from Urinary tract infections. These strains were characterized for presence of adhesions and secretory virulence factors. Isolates had diverse presence of virulence from lack to highest amount of virulence genes. Several previous studies investigated relation of virulence genes and biofilm formation, especially presence of esp and gel. Enterococci esp has been implicated as a contributing factor in colonization and persistence of infection within the urinary tract

You gave a great example of how you incorporated Ohio’s scope of practice into your post. As a home health nurse, I find that I am the first person to notice a change in the patient’s normal status. I received a patient that had been wearing Foley catheters for around 5 years. After several months of visiting with this patient, my assessment showed a change in her behavior, along with becoming disoriented and she had also fallen a few times that week. My analysis was that I suspected a urinary tract infection and I implemented a plan by calling the squad to have her taken to the emergency room for evaluation. Once the squad came, the emergency medical team evaluated her and took her vitals (which were normal) and said there was no need to go

At today's visit he is in bed watching TV. He is awake and alert. He complains of chronic back pain that radiate to his neck. He reports that the pain is achy with a severity of 4/10. His pain is worse with movements. He is on a pain regimen of Morphine ER 30mg every 12hrs. He reports that this regimen is effective in managing his pain. He is noted to be wearing his oxygen 2L/min. He has a history of COPD. He get SOB with minimal activities. For his COPD and SOB he is uses his oxygen along with Spiriva and Ventolin 2 puffs prn. He has opiate induced constipation that is manage with Colace. He also has a comorbidities of CHF, HTN

The term urinary tract infections is a general term for any of the disorders that are characterized by blood in the urine, difficulty when urinating, frequent urinating or urinating in inappropriate places. Urinary tract infection is normally caused by bacteria in one of the tracks through which urine passes. You will realize that this infection can actually occur in the urethra, ureters or the urinary bladder. Women are mostly affected by this infection than men. However, men can also be affected by UTI with the infection thereby causing greater level of discomfort. The symptoms of urinary tract infection should be treated properly. The following are some of the urinary tract infections conditions: