Urinary tract infection resident survival guide: Difference between revisions
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{{familytree | | | | A01 | | | | | | | | | | | | A01= |}} | {{familytree | | | | A01 | | | | | | | | | | | | A01=<div style="float: left; text-align: left; line-height: 150% ">'''Characterize the symptoms:''' <br> ❑ Fever <br> ❑ Dysuria <br> ❑ Frequent urination <br> ❑ Suprapubic pain <br> ❑ Hematuria <br> ❑ Vomiting <br> ❑ Diarrhea <br> ❑ Nausea <br> ❑ Flank or back pain <br> ❑ Weak stream <br> ❑ Hesistancy <br> ❑ Nocturia <br> ❑ Chills <br> ❑ Urethral discharge | ||
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'''Obtain a detailed history:''' <br> ❑ Use of urinary catheters <br> ❑ Pregnancy <br> ❑ Diabetes <br> ❑ Female and sexually active <br> ❑ Renal problems <br> ❑ Menopausal <br> ❑ Sickle cell disease <br> ❑ Elderly <br> ❑ Antibiotic use <br> ❑ Urogynecologic surgery <br> ❑ Urinary retention <br> ❑ Urinary incontinence <br> ❑ Anatomic malformations of the urinary tract <br> ❑ Increased susceptibility to UTIs <br> ❑ Allergies to latex condoms or spermicices</div>|}} | |||
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Revision as of 23:56, 2 March 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [2]
Introduction
A urinary tract infection is a bacterial infection that affects any part of the urinary tract.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
Urinary tract infection does not have life threatening causes.
Common Causes
- Escherichia coli
- Klebsiella pneumonia
- Neisseria gonorrhea
- Proteus mirabilis
- Pseudomonas aeruginosa
- Staphylococcus saprophyticus
- Urinary catheterization
Management
Shown below is an algorithm depicting the initial approach to UTI.
Characterize the symptoms: ❑ Fever ❑ Dysuria ❑ Frequent urination ❑ Suprapubic pain ❑ Hematuria ❑ Vomiting ❑ Diarrhea ❑ Nausea ❑ Flank or back pain ❑ Weak stream ❑ Hesistancy ❑ Nocturia ❑ Chills ❑ Urethral discharge Obtain a detailed history: ❑ Use of urinary catheters ❑ Pregnancy ❑ Diabetes ❑ Female and sexually active ❑ Renal problems ❑ Menopausal ❑ Sickle cell disease ❑ Elderly ❑ Antibiotic use ❑ Urogynecologic surgery ❑ Urinary retention ❑ Urinary incontinence ❑ Anatomic malformations of the urinary tract ❑ Increased susceptibility to UTIs ❑ Allergies to latex condoms or spermicices | |||||||||||||||||||||||||||||||||||||||||