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.

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

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.

E.coli was the cause of UTIs. E.coli was difficult to treat because as soon a patient would reach the hospital the bacteria would have already reached the bloodstream.

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

| Term for any infection in the urinary tract, including cystitis and pyelonephritis. It can be

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.

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.

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

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

Coli bacteria. In adjustment for an infection to occur, the E. Coli bacilli has to attach itself to the beef lining the float or the urethra (the tube that carries the urine out of the body). The ache of E. Coli that has been the a lot of acknowledged at causing a urinary amplitude infection has developed a circuitous set of adhering molecules that act like tiny assimilation cups to attach themselves to the tissue of the urinary tract. Once those adhering molecules become absorbed to the tissue of the urinary tract, they anon alpha to reproduce. This causes affliction and the archetypal affection of an infection like burning, aching urination, and a faculty of coercion to urinate. If the infection spreads to the kidneys, it can could could cause added problems like lower aback pain, fever, and

A Urinary tract infection (UTI) including the bladder and kidneys, is an infection that encompasses the entire urinary system. The kidneys and bladder filter the blood to make Urine. A urinary catheter is a thin tube placed in the bladder to drain urine. Urine drains through the tube into a bag where the urine collects. When the whole system is compromised, a patient can become very ill. A catheter provides a link between the outside environment and a usually sterile system. Now that the catheter is in place, microorganisms are no longer removed by normal voiding. Germs do not usually live in the region of the urinary system, but when they are re-introduced through the absence of voiding, infection becomes a problem. A urinary catheter may be used when you cannot urinate on your own, to measure the amount of urine you produce, during and after certain types of surgery and during testing of the urinary system. Health care associated infections(HAIs) are an on-going issue, specifically the prevention of catheter-associated urinary tract infections (CAUTIs). Simply put, those with catheters have a higher chance of obtaining a CAUTI than patients who do not.

The difference between men and women regarding UTI’s related back to the human anatomy. A man’s urethra is 8 inches in length, while a woman’s urethra is 1.5 inches in length. Bacteria can quickly and easily make its way into a woman’s bladder. This is why there is a large percent of women UTI’s when used in comparison to men (Mayo Clinic Staff, 2012). Catheter-related urinary tract infection (UTI) occurs because urethral catheters inoculate organisms into the bladder and promote colonization by providing a surface for bacterial growth.

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