Recurrent UTI is defined as a UTI (proven by culture) with episodes of uncomplicated UTI for more than three times a year or more than two episodes in 6 months. The incidence of rUTI was high in primary care setting, ranging from 36% in younger women to 53% in women above 55 years.6 Other study showed that at least one rUTI occurred in 27% of young college-age women who experienced their first UTI.7 There are several factors which may affect the occurence of rUTI, those risk factors are varied between premenopausal and postmenopausal women. In premenopausal women, sexual intercourse (recent intercourse/new sexual partners), use of spermicide and diaphragm are the most common risk factors, followed by maternal history, previous case of UTI before 15 years of age, genetics, pelvic anatomy and distance between urethra and anus. On the other hand, postmenopausal women are tend to experience rUTI due to estrogen deficiency, cystocoele, history of urogenital surgery, high post-void volume, previous UTI, and alteration of normal vaginal flora. In …show more content…
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
When collecting the specimen, the percentage of UTI rates are much higher when collected by house staff (Shaw & Carter, 2015). This could be because the sterile field was broken, sterility could be disturbed when touching the equipment, or the patient could have not been cleaned properly prior to the specimen collection. It is of upmost importance that the sterile technique is used correctly and that the specimen be taken directly to laboratory immediately following the collection. These are areas that can be improved within the hospital to help decrease the high UTI
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.
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
The most common health care associated infection (HAI) is CAUTI. Forty percent of all hospital-acquired infections are UTIs and 80% of these are directly linked to having an indwelling urinary catheter in place (Underwood, 2015). Urinary catheters are required in up to 25% of hospitalized patients and bacteriuria results in about 25% of patients with a catheter for greater than 5 days and this number increases by 1 to 5% for each day the catheter is in place after that. The harmful consequences of CAUTI include increased length of stay, higher health care cost, and increased mortality. CAUTI is known to cost health care in the U.S. $400-$500 million annually (Leuck et al., 2015).
It's not known why a UTI in some people spreads; becomes more severe and develops into Urosepsis. Thus, making all the risk factors for Urosepsis the same as for a UTI. Everyone and anyone can get a UTI. I am just going to focus on the risk factors that my clinical patient had. My patient is a diabetic female, has Foley Catheter and spinal cord damage/ nerve
The role of the Registered Nurse is crucial in the prevention of hospital-acquired urinary tract infections. Of all the UTIs acquired in the hospital, 80% of them can be attributed to the use of
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
This type of infection is common among older women than men. UTIs can cause sudden confusion such as delirium in elderly people as well in individuals with dementia. According to Beveridge, Davey, Phillips, &McMurdo, if a person with a memory impairment or dementia has a urinary tract infection, this can cause sudden and severe confusion known as delirium (2011). The cause of UTI includes an “enlarged prostate in men or a prolapse in women, where the uterus, bladder or bowel descends from the normal position due to a weakness of the supporting structures” (Beveridge et al., 2011, p. 173). As dementia progresses gradually, difficulty in maintaining a personal hygiene becomes a challenge. Abnormal changes in the structure of the urinary tract
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.
Medical History and Physical Exam for Urinary Tract Infections should be known especially if it’s a regular occurrence, if you have symptoms of a urinary tract infection (UTI), your initial evaluation by your doctor should include your medical history and physical exam. Medical history includes an evaluation of your current urinary tract symptoms, history of urinary tract infections or other urinary tract problems, family health history, and sexual history. Your doctor should discuss your general health and the results of previous testing. For women, your doctor will evaluate the possibility of pregnancy and any history of reproductive problems along with sexual activity.
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 [4]. UTI is usually classified by the site of infection (infection of the bladder, cystitis; infection of the kidney, pyelonephritis; or of the urine, bacteriuria) [4]. Uropathogens are likely to colonize anatomical and functional urinary tract, however, individuals with
A urinary tract infection is characterized by the inflammation of the epithelium that is usually caused by bacteria from gut flora. The urethra runs from the outside of the body to the inferior side of the bladder. In females, the urethra is extremely short, usually 3 to 4 cm in length. While on the other hand, the male urethra is longer, usually 18 to 20 cm in length. The male urethra is also composed of three segments, the prostatic, membranous, and cavernous urethra. Due to the short length of the female urethra, the bacteria has a shorter distance to travel to reach the bladder, giving it easier access. This reason alone is the main cause of the higher incidence of urinary tract infections in females. Due to the fact men’s urethras
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.
Microbes such as bacteria, viruses, or fungi enter the urethra and can cause a urinary tract infection. A “UTI” can occur in different parts of the urinary tract such as the kidneys, the ureter, the bladder or the urethra. They are more common in woman than in men. This is due to the females having a shorter urethra. According to Balentine (2015), “about 40% of women and 12% of men will experience a UTI in their lifetime”(p.1). It is because of the anatomical and physiological differences between the male and female urinary system that UTI’s are more common in women.
Urinary Tract Infections (UTI’s) are responsible for nearly 10 million health care office visits, 1.5 million hospitalizations and $1 billion in costs annually in the United States, according to the National Kidney Foundation. Millions of the people, who ever suffered from UTI, experience the recurrent bladder infection. Moreover, after the first infection, some people get a second, third and fourth or more UTIs, with each successive infection making them more susceptible to recurrent episodes. Scientists have found that the reason for this is the bacteria, which stays in the inner layers of the bladder and quietly hide from antibiotics used to treat the primary infection of the bladder. As antibiotics don’t get rid of bacteria populations