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
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.
Most urinary tract infections are primarily caused by bacteria that live in the bowel region of the body. The bacterium Escherichia coli, commonly referred to as “E. coli”, causes most UTIs. The urinary tract has several systems to prevent infection. The points where the ureters attach to the bladder act as only one way valves to prevent urine from moving back up toward the kidneys. Urination is intended to wash microbes and any infectious bacteria out of the body. In males, the prostate gland produces secretions that slow down bacterial growth in the urinary tract. In both woman and men, immune defenses try to prevent infections, but despite these safety procedures put in place by the body, infections still do occur in some individuals.
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.
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.
UTI is an infection of the urethra, bladder, ureters and kidneys that occurs when bacteria gain access to the urinary system (Dailly, 2011). This makes a patient's urine to contain bacteria during a laboratory test, and this bacteria is more prone to being active when
Urinary tract infections (UTI’s) are much too common in the elderly population (Lim, Whitehurst, Usoro, & Ming Ng, 2014). Some residents who develop these nosocomial infections will become septic, leading to 10% mortality within 7 days (Saint, S., Kaufman, S.R., Rogers, M.A., Baker, P.D., Boyko, E.J., Lipsky, B.A., 2006). UTI’s can cost between $749 and $1,007 per infection (Meddings, J., Rogers, M.A.M, Krein, S.L., Fakih, M.G., Olmsted, R.N., & Saint, S., 2013) and according to Spector, Limcango, Williams, Rhodes, & Hurd, (2013), UTI’s are 23% of the total avoidable hospitalizations. The Centers for Medicare and Medicaid Services (CMS), consider
Nearly 1 in 3 women will have had at least 1 episode of UTI requiring antimicrobial therapy by the age of 24 years. Specific subpopulations at increased risk of UTI include infants, pregnant women, the elderly, patients with spinal cord injuries and/or catheters, patients with diabetes or multiple sclerosis, patients with acquired immunodeficiency disease syndrome/human immunodeficiency virus, and patients with underlying urologic abnormalities. There are important medical and financial implications associated with UTIs. In the nonobstructed, nonpregnant female adult, acute uncomplicated UTI is believed to be a benign illness with no long-term medical consequences. However, UTI elevates the risk of pyelonephritis, premature delivery, and fetal mortality among pregnant women, and is associated with impaired renal function and end-stage renal disease among pediatric
UTI stands for urinary tract infection, and it is an infection that occurs in kidneys, urethra, ureters, bladders, and any other part of urinary system in the body. According to the National Healthcare Safety Network (NHSN), UTIs are proven to be the most common type of health care-associated infection. Among UTIs acquired in the hospital, approximately 75% of patients are associated with catheter, and around 15-25% of them receive urinary catheter when they are in hospital (Centers for Disease Control and Prevention,
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.
How can you get a UTI, both genders can get the infection but it is a lot more common for females to get a UTI than males, the reason is women are often told to wipe from front to back after using the bathroom for a reason, that’s because the urethra which is the tube that transports urine from the bladder to the outside of the body which is located close to the anus. Bacteria from the large intestine can escape the anus and invade the urethra and from there the bacteria travels up to the bladder. Another reason UTI’s are more common with women is they have shorter urethras which allows the bacteria to quickly access the bladder. Lastly having intercourse can introduce the bacteria into the urinary tract so it is always best to urinate after intercourse.
The authors in Pediatrics in April of 2014, Glissmeyer et al, concluded that “a urine dipstick may be an adequate stand-alone screen for UTI febrile children while awaiting a urine culture.” Another objective was to determine if following an algorithm for febrile urinary tract infections would impact the direction of providers care. Another objective was to see if modifying an algorithm would aide early detection (Schroeder, A., 2011). Ultimately, according to IOM and IHI reports, working together, collaborating and early identification of areas for improvement for clients care will decrease cost. (Hamric, A.
Urinary tract infection (UTI) is one of the most common infections encountered in outpatient clinic. Urine stores in bladder and is sterile. When pathogenic microorganisms present in the urinary tract with concomitant symptoms, people develop UTIs. In USA, UTIs account for 8 million doctor visits, 1 million emergency room visits, and more than 100,000 hospital admissions each year (Domino, Baldor, Golding, and Stephens, 2015). In women, 11% of them have UTIs in any given year, more than 50% of them have at least one UTI in their lifetime, and 1 in 4 women have recurrent UTIs (Domino, Baldor, Golding, and Stephens, 2015). Most of UTIs are uncomplicated and occur in young and sexually active women (Domino, Baldor, Golding, and Stephens, 2015). The most common cause of uncomplicated UTIs in women is Escherichia coli due to women has short length of urethra and is
Urinary tract infection refers to the presence of microbial pathogens within the urinary tract and can be divided into uncomplicated and complicated depending upon the anatomical and pathophysiological elements of the urinary tract. Infection of the intact, normally functional tract is usually classified as uncomplicated infection. When there is urinary tract abnormalities such as an obstruction, or the patient is predisposed to the infection, it is referred to as complicated . UTI is usually classified by the site of infection (infection of the bladder, cystitis; infection of the kidney, pyelonephritis; or of the urine, bacteriuria) . Uropathogens are likely to colonize anatomical and functional urinary tract, however, individuals with
Urinary tract infections (UTIs) commonly occur in the bladder (cystitis) or urethra (urethritis), but may also happen in the kidneys (acute pyelonephritis). UTIs occur more often in women than in men as women have a shorter distance from their urethra to anus, and also because their urethra is shorter than men’s giving the bacteria less of a distance to travel. Other risk factors may include sexual activity, especially if one has a new partner as they carry potentially new bacteria. Certain types of birth control, menopause, and those who use catheters are also at a greater risk of UTIs. Symptoms one may experience if they have a UTI are frequently urinating small amounts, urine that is cloudy and/or discolored (especially tinted pink or red