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Urinary tract infaction
1. URINARY TRACT INFCTION
PRESENTED BY:
DR. CHITRANJAN DAS
M.D. SCHOLAR (DRAVYAGUNA)
GACH PATNA
GUIDEDBY :
DR. (PROF.)MAHENDRA PRASAD SINGH
M.D.(AY.)DRAVYAGUNA
HOD. DEPT. OF DRAVYAGUNA
GACH PATNA
CO-GUIDEDBY :
DR. SHREEBHAGWANSINGH
M.D.(AY.) DRAVYAGUNA
ASSOCIATEPROF. DEPT .OF DRAVYAGUNA
GACH PATNA
2.
3. INTRODUCTION :-
Urinary tract infection is one
of the most common bacterial
infection.
A urinary tract infection, or
UTI, is an infection in any part
of your urinary system, which
includes your kidneys,
bladder, ureters, and urethra.
It is managed in general
medical practice .
4. DEFINITION
UTI is an inflammatory response
of the urothelium to bacterial
invention that is usually
associated with bacteriuria and
pyuria.
5.
6. CAUSATIVE PATHOGENS
Most UTIs are caused by
a single bacterial
species.
At least 80% of the
uncomplicatedcystitis
and pyelonephritisare
due to E.coli.
Other Less common
pathogens includes
klebsiella , proteus and
Enterobacterand
enterococci.
7. • In hospitalacquired UTIs , a wider variety of
causativeorganism is found , including
pseudomonas and staphylococcus .
• UTI uncommon in male except over the age
of 60 yr. when urinary tract obstructiondue
to prostatic hypertrophy may occur.
• Symptomaticpresence of micro organism
within the urinary tract i.e. kidney ureters
bladder and urethra.
• Associatedwith inflammationof urinary
tract.
8. COMMON MICROORGANISM CAUSING UTI
Escherichia coli Enterococcus Klebsiella Proteus Pseudomonas Staphylococcus
Candida
albicans
9. PREDISPOSING FACTOR TO UTI
FACTOR INCREASING URINARY STASIS
Intrinsic obstruction due to stone or tumour in urinary tract
Extrinsic obstruction due to tumour and fibrosis
Urinary retention including neurogenic bladder
Renal impairment
18. PATHOPHYSIOLOGY
In most of the cases infection ascends through urethra and reach to
urinary bladder
Infection of urethra is known as urethritis and in bladder is known as
cystitis
In severe case this infection can ascends to the pelvis and kidney
through ureter. It is called pyelonephritis.
Urinary stasis because of any reason helps in the growth and
multiplication of bacteria.
19. CLINICAL FEATURE
In lower UTI there is burningsensation during micturition (dysuria)and increasefrequencyof micturition
In severecasethere may be –
Fever
Suprapubicpain
Urgency
Hesitancy
Haematuria
20. Continue………………….
When infection reaches to upper urinary tract then –
High grade fever with chills and rigor is the prominent symptoms
Nausea and vomiting
Flank pain
Renal angle tenderness (characteristic feature of pyelonephritis )
Most important clinical feature is UTI may present with only fever
In some case like diabetic mellitus severe UTI develops without any sign and symptoms and patient developed
septicaemia and septic shock and renal failuremay occur
26. ADULTS
LOWER UTI :-
frequency ,
urgency , dysuria
,haematuria
• UPPER UTI :- fever,
rigor, and loin pain
and symptoms of
lower UTI.
ELDERLY
PATIENTS :-
mostly
asymptomatic
31. Use liquid
soap in
stand of bar
soap to
prevent
colonization
Urinate
before and
after
intercourse
Wear
comfortable
and clean
clothing
Consume
healthy diet