Febrile Case Studies

Some study said that rUTIs are not life-threatening, however, lowered quality of life and increased health-care costs are inevitable in these diseases.7 Patients with rUTI may experience anxiety of sudden acute episodes and psychological burden.8 In other studies, urinary tract infection may lead to various complications, starting from increased length of stay in hospital until higher mortality rate. Based on a study by Mitchell et al, out of 1.73% of admitted patients who had UTI, there were 3.5 days extra length of stay compared to those without UTI. People with infection also had 2.3 times more chance to die during their admission.9 Moreover, in The United States, annual cost of UTI are >$3.5 billion, whereas in Italy the cost of UTI and rUTI was around 240 and 140 euro per episodes respectively.5,10 Thus, preventive measures should be done to solve this

Urinary tract infections (UTIs) are considered to be the most common bacterial infection. Nevertheless, it is difficult to accurately assess the incidence of UTIs, because they are not reportable diseases. This situation is further complicated by the fact that accurate diagnosis depends on both the presence of symptoms and a positive urine culture, although in most outpatient settings this diagnosis is made without the benefit of culture.

According to the Centers for Disease Control and Prevention [CDC] (2017), “Urinary tract infections (UTIs) are the fourth most common type of healthcare-associated infection, with an estimated 93,300 UTIs in acute care hospitals in 2011. UTIs additionally account for more than 12% of infections reported by acute care hospitals. Virtually all healthcare-associated UTIs are caused by instrumentation of the urinary tract” (p. 7-1).

The four specific databases that were used in this research are, Cinahl, Medline, Joanna Briggs and Cochrane Library. All of these databases were chosen because they provided up to date peer reviewed evidence that was relevant to the search terms. This ensures that the evidence that was found was relevant and reliable. The Cinahl website was useful to gather background information on the topic such as how a UTI is contracted and how it effects the body. The Cochrane Library and Medline website was useful to because it gave specific information on studies that had already been done by other researchers. This helped to ensure that the study that is being undertaken was searching for the right results.

UTI’s is an all too common problem that causes unnecessary distress to patients and delays their recovery during their hospital stay. All healthcare professionals should adhere to these good practice points that could reduce the risk of UTI’s and assure staff that they are demonstrating best practice in their care.

Urinary catheterizations are both invasive and traumatic to the pediatric patient and increase the risk of acquiring an infection. The automatic catheterization of children with suspected urinary tract infection is often unnecessary, as evidenced by the Children's Hospital of Philadelphia, which reported "of 63% of febrile children screened for
UTI by urethral catheterization; screens were positive in only a
small percentage of cases, with cultures positive in only 4.3%" (Lavelle et al., 2016). Thus, a disconnect occurs in the actual necessity for the catheterization process. A less invasive technique, as proposed by Lavelle et al.’s employment of the urinary bag to retrieve urine samples prior to catheterization, provides an opportunity for new protocol in ED screening that does not increase treatment time, and does not compromise correct detection of UTI

T.M. was admitted to the sub-acute unit for an UTI. UTI is usually cause by an organism called Escherichia coli. Risk factors for UTI in males can be bladder stones, kidney stones, an enlarge prostate, catheter use, or bacterial prostatitis. Some of the symptoms of UTI are burning sensation when urinating, frequent urination, fever, chills, foul smelling urine, urine retention, and lethargy. T.M. has a diagnosis of BPH and repeated history of UTI which increase his risk for UTI. A short-term goal will be that the patient will be display no UTI sign of symptoms. A long-term goal will be that the patient will demonstrate behavioral techniques to prevent future UTI. To accomplish these goals, the patient should be encouraged to void every 2 to

Authors suggested that the accurate diagnosis of a UTI will play a role in the cost-effective medical care and appropriate antimicrobial utilization. The objective of the article is to summarize the top ten, misconceptions of UTI that result in extraneous testing and antimicrobial treatment. This article is well organized, consist of an abstract, introduction, list the myths with mistaken beliefs pertaining to diagnosis, a discussion and conclusion. One reason this article was of an interesting choosing was, due to myth number, “falls and acute altered mental status changes in the elderly patient are usually caused by UTI.” The article suggests that elderly patients with acute mental status changes accompanied by bacteriuria, pyuria without clinical instability or other signs or symptoms of UTI can reasonably be observed for resolution of confusion for 24-48 hours without antibiotics, which searching for other causes. The article describes in detail that elderly patients with acute mental status change and functional decline are nonspecific and are clinical manifestation of several circumstances such as, dehydration, hypoxia, and ploy-pharmacy adverse reaction. In the discussion section, the article also suggests that an increase in education and evidence-based guidelines aimed at physicians, advance practice

A urinary tract infection (UTI) is an infection that can involve any part of the urinary system, including

G.M. was then immediately transferred to Rady Children’s hospital Emergency Room by her parents. Upon nursing assessment she presented with vital signs within the same range from her clinic visit. These were repeated every fifteen minutes until stable. Her skin was flushed and diaphoretic. Mucous membranes appeared dry with significant skin cracking around the mouth. Patient was alert and oriented times three and pupils were equal, round, and reactive to light and accommodation. Her breath sounds were clear and equal bilaterally, with no adventitious sounds noted. However, patient G.M. appeared to have

In addition, she states that her son who delivered in 2013 has developed seizures and she has an appointment with Vanderbilt in the next couple of weeks to where they may do genetic testing to see if there is any genetic basis for the seizures. She was told that there are some gene disorders that can be detected prenatally but we would need to know the exact tests or gene defect if indeed if her son has a genetic basis for his seizures. She will inform you or our office of the results of this

The child in the most immediate concern is Lydia Pederson. She is now 9 months old and was taken to the hospital via ambulance due to Lydia being limp and unresponsive in the cot. The child was report to be grizzle and unsettled for a few days and the foster carer report that she has had trouble keeping fluid and solids for a few days, and she has had not wet nappies today.

The mother stated that the child complained of nausea at 10 o’clock the 2nd day of February, later, the child began vomiting and having multiple episodes of diarrhea, she was not able to eat or drink anything without vomiting. As it approached evening, the woman took the child to the local hospital where she

Delievery CS. color is pink with olive undertones, good cry, head normocephalic, fontanelles and sutures WNL. Milia present across nose. Hair is soft, black and sparse. Eyebrows and lashes present, eyes and ears level, nostrils equal, no flaring observed. Sucking pads present. Palate intact, good suck reflex. Eyes bright dark brown, + blink reflex, baby is responsive to sound and movement. Scelera bluish-white. Ears are symmetrical, well-formed. No lesions noted. Clavicles straight and intact. BL lung expansion, Lungs clear BL, no murmurs or thrills noted. Abdomen protruding, umbilical cord dry, no bleeding. Active bowel sounds x 4 quad. No inguinal bulges, femoral pulses +1/4. Buttocks symmetric, anus patent, no dimpling at coccyx. Symmetric

Rozel’s mother was in labor for a long period of time while giving birth to Rozel that it decreased the supply of oxygen that Rozel received during delivery. Her mother had an induced labor to facilitate childbirth and she was able to give birth to Rozel through normal delivery. At birth, Rozel was successfully resuscitated due to the difficulty of breathing. She was diagnosed with laryngomalacia which causes partial blocking of the airway opening. She was then hospitalized for one month and received medicines through injections but her mother could not recall the names of the medicines. During her hospitalization, Rozel had convulsions. There was no sound produced when she cried. A neonatologist/pediatrician diagnosed Rozel with developmental