Urinary Tract Infection: A Case Study

Many Americans are chronically dehydrated. This only makes you more prone to getting UTIs. Make sure you get enough to drink. Make sure some of what you drink is plain water. Caffeine and alcohol are both dehydrating. Such beverages really don't count as much as you may think towards keeping you hydrated.

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).

A sample of the patients bacteria causing the urinary tract infection can only be used if a urine sample is bacteriologically viable (1 Radar). Infected urine and sterile urine are common samples used for the diagnosis of patients (1 Radar). It is important to gain further knowledge of multiple organisms’ resistance to antibiotics that cause urinary tract infections (1Radar). Escherichia coli has distinct characteristics and structures that help identify their unique properties (2 Johnson). Escherichia coli is the most common and most prevalent bacteria present in the fecal flora of the human colon (2 Johnson). Because of Escherichia coli unique ability to overcome the obstacles of a new environment, it makes easy for bacteria to spread into the urinary tract and produce a discomforting infection (2 Johnson). All research conducted lead to the belief that Escherichia coli was the Enterobacteriaceae pathogen causing the UTI in the patient. In order to confirm this prediction a set of differential tests and biochemical test must be conducted.

Due to weaken immune system, declining organ function, poor sensory perception, and multiple prescribed and over the counter medications, and comorbidities elderly patients are at risk for infections. For many elderly patients the possibility of developing an infection is extremely high, on account of hospitalization or living in long-term care facilities. The most common type of infection acquired in these facilities is urinary tract infections. A urinary tract infection most likely affects the bladder or urethra; more serious urinary tract infections occur in the kidneys. There may be symptoms such as urinary urgency or frequency, but in other cases there are no symptoms at all. This urine infection is caused by gram-negative sepsis.

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.

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

UTI’s (urinary tract infection) are an infection to the urinary system. There caused by certain bacteria

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

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.

When a person contracts a UTI, drugs are usually the first thing taken to try to get rid of the UTI. But, in recent studies, e.coli’s resistance to common UTI drugs is rising. Veronique Greenwood conducted a study in 2012 that showed the rise in drug resistance of e.coli bacterias. The study showed a 14% increase in resistance in the drug ciprofloxacin, a 6% increase in trimethoprim-sulfamethoxazole, the two most prescribed drugs. As the e.coli becomes resistant to these drugs, large problems can arise for many people. For instance, when the drugs become fully ineffective, a large population of people can become sick from the e.coli bacteria, or become harmed from the toxic drugs doctors would have moved onto. Also, is the bacteria is left untreated, the infection can spread from the urinary tract to the bladder and eventually to the kidneys causing kidney failure. In brief, whether contracted from a fecal incident, or unsanitized food, e.coli can be extremely dangerous and can result in a sickness or

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

Proteus vulgaris is associated with urinary tract infections, which if left untreated can escalate to complications such as sepsis in the blood. A fever is the most common symptom for an untreated UTI followed by: pelvic pain, sudden urge to urinate followed by a burning sensation and cloudy urine. To prevent being a victim, the number one prevention and transmission is to always wipe from front to back, drink plenty of fluids and emptying of

A urinary tract infection or UTI is an infection that can happen anywhere along the urinary tract. Your urinary tract is the system that makes urine and carries it out of your body. Urinary tract infections can have different names, depending on what part of the urinary tract is infected. The infection can be in the bladder, kidneys, ureters, or the urethra. If the infection is in the bladder it is called cystitis or a bladder infection. If the infection is in the kidneys is it called pyelonephritis or a kidney infection. If the infection is in the urethra it is called urethritis. Most urinary tract infections are bladder infections. Infections in the ureters are very rare.

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

A review of his medical record indicates that he suffers chronic urinary tract infection with retention. He has a suprapubic catheter in place. On 1/8/17 he was ordered UA, C&S due to hematuria. He has new onset depression and was started on Cymbalta by his PCP in December. He suffers from chronic pain due to his arthritis and osteoporosis. He also suffers from co-morbidities of HTN-chronic and stable, anemia-chronic, Rheumatoid arthritis which is chronic and CHF-chronic.